OrganizationActive
Gdr, Inc
NPI 1013053842 · Community/Retail Pharmacy · Tchula, MS
Provider details
- NPI number
- 1013053842
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Glenn Roberts, President(662) 235-4422
- License
- 01455 (MS)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 Mercer Street
Tchula, MS 39169
Phone: (662) 235-4422
Fax: (662) 235-4301
Street-level locationGet directions
Mailing address
Po Box 217
Tchula, MS 39169-0217
Other names (DBA / former)
- Doing business as
- Haire Drug Center
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.