Gateway Pharmacy, LLC
Organization Active NPI Compounding Pharmacy · Bismarck, ND
NPI 1023652179 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1023652179
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Compounding Pharmacy 3336C0004X
- Legal business name
- GATEWAY PHARMACY, LLC
- Practice address
- 7300 Yukon Dr Unit 5
Bismarck, ND 58503-9777 - Phone
- (701) 354-7591
- NPI assigned
- Nov 1, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- GATEWAY PHARMACY, LLC
Authorized official
- Name
- Brennen Kuntz, PHARMD
- Title
- Manager/Pic
- Phone
- (701) 354-7591
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Gateway Pharmacy in
- Part of
- Gateway Pharmacy in
Locations
7300 Yukon Dr
Bldg 5
Bismarck, ND 58503
Phone (701) 354-7591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | Yes |
Addresses
Primary practice location
7300 Yukon Dr Unit 5
Bismarck, ND 58503-9777
Mailing address
PO Box 994
Bismarck, ND 58502-0994
Phone (701) 354-7591
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3505332 | Other | ND | NCPDP |
| 1479620 | Medicaid | ND |
Other names
- Gateway Pharmacy Labs
Other providers in Bismarck, ND
- Freddy Gasomora
- Gateway Pharmacy LLC
- Gateway Pharmacy LLC
- Gateway Pharmacy LLC
- Gateway Pharmacy LLC
- Jennifer Lynn Gatzke
- Michelle Gayette
- David Gayton
- Karen Gayton
- Sydney Gayton
All providers in Bismarck, ND · Compounding Pharmacy in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.