Active NPI
Mount Gilead LLC
- Long Term Care Pharmacy
- Mount Gilead, NC
National Provider Identifier
1104495522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MOUNT GILEAD LLC
- Practice address
- 116 S Main St
Mount Gilead, NC 27306-9254 - Phone
- (910) 439-6541
- Fax
- (910) 439-5723
- NPI assigned
- Jun 21, 2021
- Last updated
- Jun 21, 2021
- Organization subpart
- Yes
- Parent organization
- MOUNT GILEAD LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anil Chinapaga
- Title
- Managing Member
- Phone
- (910) 439-6541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
116 S Main St
Mount Gilead, NC 27306-9254
Mailing address
PO Box 248
Mount Gilead, NC 27306-0248
Phone (910) 439-6541
National Provider Directory
National Provider Directory- Tax ID family
- Mount Gilead LLC
- Part of
- Mount Gilead LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Mount Gilead, NC
- NPI 1679833289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1104495522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 248",
"city": "MOUNT GILEAD",
"state": "NC",
"postal_code": "273060248",
"telephone_number": "910-439-6541",
"fax_number": "910-439-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S MAIN ST",
"city": "MOUNT GILEAD",
"state": "NC",
"postal_code": "273069254",
"telephone_number": "910-439-6541",
"fax_number": "910-439-5723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT GILEAD LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOUNT GILEAD LLC",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "CHINAPAGA",
"authorized_official_first_name": "ANIL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "910-439-6541"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Gilead, NC
- MCPC-8, LLC (FirstHealth Convenient Care - Lake Tillery)
- Bobby McRae
- Moderate Living for the Aging Inc (Mt. Gilead Independent Senior and Assisted Living)
- Monarch
- Monarch
- Mount Gilead LLC (Cochrane Ridenhour Drug Co #3)
- Patton Group, LLC (Evans Rest Home)
- Providence Facilities
- Shipman Family Home Care Inc.
- Regina P Smith, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.