Organization Active NPI

Gateway Drugs PLLC

Doing business as Gateway Rx

  • Community/Retail Pharmacy
  • Fort Myers, FL
National Provider Identifier
1245797554
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GATEWAY DRUGS PLLC
Doing business as
Gateway Rx
Practice address
12401 Commerce Lakes Dr Ste 3
Fort Myers, FL 33913-8663
Phone
(239) 768-1222
Fax
(239) 315-7939
NPI assigned
Feb 22, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Dr. Kellen Elayne Danley, PHARMDNPI 1316418197
Title
Owner
Phone
(239) 789-7784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12401 Commerce Lakes Dr Ste 3
Fort Myers, FL 33913-8663

Mailing address

12401 Commerce Lakes Dr Ste 3
Fort Myers, FL 33913-8663
Phone (239) 768-1222

Other names 1

  • Gateway Rx Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200828002240 FL Part B Supplier - Pharmacy 5597182097 Practice locations: Ft Myers, FL

National Provider Directory

National Provider Directory

Locations

12401 Commerce Lakes Dr
Ste 3
Fort Myers, FL 33913
Phone (239) 768-1222

12401 Commerce Lakes Dr
Unit C
Fort Myers, FL 33913
Phone (239) 789-7784

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1245797554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 COMMERCE LAKES DR STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138663",
            "telephone_number": "239-768-1222",
            "fax_number": "239-315-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 COMMERCE LAKES DR STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138663",
            "telephone_number": "239-768-1222",
            "fax_number": "239-315-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY DRUGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "DANLEY",
        "authorized_official_first_name": "KELLEN",
        "authorized_official_middle_name": "ELAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-789-7784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.