GATEWAY PHARMACY LLC NPI 1023652179

NPI Information

  • NPI: 1023652179
  • Provider Name: GATEWAY PHARMACY, LLC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Doing Business As: GATEWAY PHARMACY LABS
  • Address: 7300 YUKON DR UNIT 5
    BISMARCK, ND
    ZIP 58503
  • Phone: (701) 354-7591

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NPI Details

GATEWAY PHARMACY, LLC is a compounding pharmacy pharmacy in Bismarck, ND. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. GATEWAY PHARMACY, LLC NPI is 1023652179. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Pharmacy Labs.

The provider's business location address is:

7300 YUKON DR UNIT 5
BISMARCK, ND
ZIP 58503-777
Phone: (701) 354-7591

The provider's authorized official is Stacey Christ .
The authorized official title is Director Of Compounding and has the following contact phone number (701) 354-7591.

The enumeration date for this NPI number is 11/1/2019 and was last updated on 4/25/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13505332OTHERNORTH DAKOTANCPDP
21479620MEDICAIDNORTH DAKOTA

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: 3/30/2025

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