Gateway Pharmacy Llc

LBN: Gateway Pharmacy Llc
Gateway Pharmacy Llc is an health care organization with primary practice located at 510 Pineview Dr , Kernersville NC 27284-3663. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gateway Pharmacy Llc can be contacted via phone (336) 992-2111, or through Lewter, Roy via phone (336) 992-2111.

Contact Information

Primary practice address
510 Pineview Dr Kernersville NC 27284-3663
Fax: (336) 992-2113
Website:
Authorized official contact:
Name: Lewter, Roy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 08506 North Carolina

Profile Details

NPI number 1982665170
LBN Legal business name Gateway Pharmacy Llc
DBA Doing business as Gateway Pharmacy Llc
Authorized official Lewter, Roy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 6th, 2017 - about 9 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 1982665170 NPPES
Other 2070330 PK
MEDICAID 0347199 PK

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