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GATEWAY PHARMACY LLC NPI 1205927571


NPI Information

NPI: 1205927571
Provider Name: GATEWAY PHARMACY LLC

Doing Business As: GATEWAY PHARMACY SOUTH

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 35D0956557

Address:
835 S WASHINGTON ST
SUITE #2
BISMARCK, ND
ZIP 58504
Phone: (701) 223-1656
Get Directions

GATEWAY PHARMACY LLC is a community/retail pharmacy pharmacy in Bismarck, ND. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GATEWAY PHARMACY LLC NPI is 1205927571. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Pharmacy South.

The provider's business location address is:

835 S WASHINGTON ST
SUITE #2
BISMARCK, ND
ZIP 58504-477
Phone: (701) 223-1656
Fax: (701) 223-9628

The provider's authorized official is Mark Anthony Aurit .
The authorized official title is President and has the following contact phone number (701) 224-9521.

The CLIA number assigned to this NPI record is 35D0956557 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 11/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy90NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18533860MEDICAIDSOUTH DAKOTA
2N711223OTHERNORTH DAKOTAMEDICARE IMMUNIZATIONS
31455415MEDICAIDNORTH DAKOTA
43503679OTHERNORTH DAKOTANCPDP NUMBER
5BG4411384OTHERNORTH DAKOTADEA LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.