Gateway Pharmacy

LBN: Gateway Pharmacy Inc
Gateway Pharmacy is an health care organization with primary practice located at 1 Gateway Ctr , Newark NJ 07102-5310. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gateway Pharmacy Inc can be contacted via phone (973) 732-6900, or through Khaimov, Avner via phone (973) 732-6900.

Contact Information

Primary practice address
1 Gateway Ctr Newark NJ 07102-5310
Fax: (973) 732-6906
Website:
Authorized official contact:
Name: Khaimov, Avner

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00724500 New Jersey
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1881932465
LBN Legal business name Gateway Pharmacy Inc
DBA Doing business as Gateway Pharmacy
Authorized official Khaimov, Avner
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2013
Last updated Jan 7th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881932465 NPPES
Other 2139516 PK

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