GATEWAY DRUG STORE INC. NPI 1831189679

NPI Information

  • NPI: 1831189679
  • Provider Name: GATEWAY DRUG STORE, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 3997 MEETING ST
    LORIS, SC
    ZIP 29569
  • Phone: (843) 756-5134

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NPI Details

GATEWAY DRUG STORE, INC. is a pharmacy in Loris, SC. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GATEWAY DRUG STORE, INC. NPI is 1831189679. The provider is registered as an organization entity type.

The provider's business location address is:

3997 MEETING ST
LORIS, SC
ZIP 29569-053
Phone: (843) 756-5134
Fax: (843) 756-0689

The provider's authorized official is Thomas Freddie Moore .
The authorized official title is President and has the following contact phone number (843) 756-5134.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 8/22/2020.

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
1333600000XPharmacy50-000971SOUTH CAROLINAYes

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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