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GATEWAY PHARMACY LLC NPI 1275963308


NPI Information

NPI: 1275963308
Provider Name: GATEWAY PHARMACY LLC

Doing Business As: GATEWAY PHARMACY SUNRISE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 35D2101808

Address:
3103 YORKTOWN DR
STE 2
BISMARCK, ND
ZIP 58503
Phone: (701) 425-0789
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 1275963308. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Pharmacy Sunrise.

The provider's business location address is:

3103 YORKTOWN DR
STE 2
BISMARCK, ND
ZIP 58503-526
Phone: (701) 425-0789
Fax: (701) 751-6180

The provider's authorized official is Briana Fluhrer .
The authorized official title is Ceo and has the following contact phone number (701) 425-0789.

The CLIA number assigned to this NPI record is 35D2101808 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2013 and was last updated on 11/24/2021.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPHAR419NORTH DAKOTANo
33336S0011XPharmacySpecialty Pharmacy400-1704SOUTH DAKOTANo
43336C0003XPharmacyCommunity/Retail PharmacyY007401ARIZONAYes

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
12143084OTHERPK
21452328MEDICAIDNORTH DAKOTA
3N711223OTHERNORTH DAKOTAMEDICARE IMMUNIZATIONS

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.