NPIMap

Organization Active NPI

Gateway Prescription Center Inc

  • Long Term Care Pharmacy
  • Lake City, FL
National Provider Identifier
1053550020
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH23754 Issued in FL
Legal business name
GATEWAY PRESCRIPTION CENTER INC
Doing business as
Baya LTC
Practice address
1465 W US Highway 90
Suite 115
Lake City, FL 32055-6123
Phone
(386) 755-2233
Fax
(386) 752-6721
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joan Allison
Title
Treasurer/Secretary
Phone
(386) 719-9952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH23754 FL Primary

Addresses

Primary practice location

1465 W US Highway 90
Suite 115
Lake City, FL 32055-6123

Mailing address

780 SE Baya Dr
Lake City, FL 32025-5403
Phone (386) 719-9952

Other names 1

  • Baya LTC Doing business as

National Provider Directory

National Provider Directory

Locations

1465 W US Highway 90
Ste 115
Lake City, FL 32055
Phone (386) 755-2233

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1053550020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255403",
            "telephone_number": "386-719-9952",
            "fax_number": "386-438-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 W US HIGHWAY 90",
            "address_2": "SUITE 115",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320556123",
            "telephone_number": "386-755-2233",
            "fax_number": "386-752-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "TREASURER/SECRETARY",
        "authorized_official_telephone_number": "386-719-9952"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH23754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baya LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.