Gateway Pharmacy Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06785 Issued in KY

Legal business name

GATEWAY PHARMACY GROUP LLC

Doing business as

Sopers Family Drug

Practice address

227 W Main St
Carlisle, KY 40311-1129

Phone

(859) 289-8501

Fax

(859) 289-8004

NPI assigned

Dec 18, 2006

Last updated

May 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry Barnette, RPH

Title

Owner

Phone

(859) 289-8501

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SOPERS FAMILY DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Gateway Pharmacy Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gateway Pharmacy Group

  dba Soper's Family Drug

  • Durable Medical Equipment & Medical Supplies
  • Carlisle, KY
  • NPI 1023209764
  NPD tax ID

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1093878613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FOXGLOVE DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W MAIN ST",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403111129",
            "telephone_number": "859-289-8501",
            "fax_number": "859-289-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHARMACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "BARNETTE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-289-8501",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54001148",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOPERS FAMILY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah E Eiswerth, PT, DPT
• Essential Renew, PLLC
• Alexia Fryman
• Leah Beth Gardner
• Gateway Pharmacy Group (Soper's Family Drug)
• Amber Lynn Guy, APRN
• Harrison Memorial Hospital (HMH Primary Care Carlisle)
• Hopkins Drug Co., Inc.
• Janey E Huff, LCSW
• Nancy Cox Hunter, ARNP

• Community/Retail Pharmacy in Carlisle, KY
• Providers in Carlisle, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.