Mount Gilead LLC

Organization Active NPI Long Term Care Pharmacy · Mount Gilead, NC

NPI 1104495522 · NPPES record last updated Jun 21, 2021

Key facts

NPI
1104495522
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
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
Organization subpart
Yes
Parent organization (as reported)
MOUNT GILEAD LLC

Authorized official

Name
Anil Chinapaga
Title
Managing Member
Phone
(910) 439-6541

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.

Corporate family (same tax ID) 1

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

Practitioners 1

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

National Provider Directory

Tax ID family
Mount Gilead LLC (2 organizations share this tax ID)
Part of
Mount Gilead LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

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

Other providers in Mount Gilead, NC

All providers in Mount Gilead, NC · Long Term Care Pharmacy in North Carolina

Sources for this page

Verify at the official NPI Registry.