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GATEWAY COMMUNITY SVC BOARD NPI 1962584193


NPI Information

NPI: 1962584193
Provider Name: GATEWAY COMMUNITY SVC BOARD

Doing Business As: GATEWAY CSB PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

CLIA Number: 11D2279238

Address:
800 E 70TH ST
SAVANNAH, GA
ZIP 31405
Phone: (912) 790-6220
Get Directions

GATEWAY COMMUNITY SVC BOARD is a specialty pharmacy pharmacy in Savannah, GA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. GATEWAY COMMUNITY SVC BOARD NPI is 1962584193. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Csb Pharmacy.

The provider's business location address is:

800 E 70TH ST
SAVANNAH, GA
ZIP 31405-813
Phone: (912) 790-6220
Fax: (912) 349-4328

The provider's authorized official is Nancy Bright .
The authorized official title is Pic and has the following contact phone number (912) 790-6220.

The CLIA number assigned to this NPI record is 11D2279238 - other - sud/ad outpatient clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 2/7/2013.


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
13336C0002XPharmacyClinic PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336S0011XPharmacySpecialty PharmacyPHRE006000GEORGIAYes

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
100864729AMEDICAIDGEORGIA
21144980OTHERNCPDP PROVIDER IDENTIFICATION 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: 4/28/2024

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