Active NPI
Gateway Pharmacy Group
Doing business as Soper's Family Drug
- Durable Medical Equipment & Medical Supplies
- Carlisle, KY
National Provider Identifier
1023209764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PO6785
- Legal business name
- GATEWAY PHARMACY GROUP
- Doing business as
- Soper's Family Drug
- Practice address
- 102 S Broadway St
Carlisle, KY 40311-1190 - Phone
- (859) 289-8501
- Fax
- (859) 289-8004
- NPI assigned
- Aug 7, 2007
- Last updated
- Dec 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda F. Soper, PHARMACIST
- Title
- Pharmacist - Owner
- Phone
- (859) 289-8501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PO6785 | KY | Primary |
Addresses
Primary practice location
102 S Broadway St
Carlisle, KY 40311-1190
Mailing address
102 S Broadway St
Carlisle, KY 40311-1190
Phone (859) 289-8501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90008624 | Medicaid | KY |
Other names 1
- SOPER'S FAMILY DRUG
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Pharmacy Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sopers Family Drug
- Community/Retail Pharmacy
- Carlisle, KY
- NPI 1093878613
Locations
102 S Broadway St
Carlisle, KY 40311
Phone (859) 289-8501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197244800000",
"number": "1023209764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S BROADWAY ST",
"city": "CARLISLE",
"state": "KY",
"postal_code": "403111190",
"telephone_number": "859-289-8501",
"fax_number": "859-289-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S BROADWAY ST",
"city": "CARLISLE",
"state": "KY",
"postal_code": "403111190",
"telephone_number": "859-289-8501",
"fax_number": "859-289-8004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY PHARMACY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-12-10",
"status": "A",
"authorized_official_last_name": "SOPER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PHARMACIST - OWNER",
"authorized_official_telephone_number": "859-289-8501",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "PO6785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90008624",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOPER'S FAMILY DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Carlisle, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.