NPIMap

Organization Active NPI

Galloway Sands, LLC

Doing business as Galloway-Sands Pharmacy #2

  • Community/Retail Pharmacy
  • Southport, NC
National Provider Identifier
1255762134
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11755 Issued in NC
Legal business name
GALLOWAY SANDS, LLC
Doing business as
Galloway-Sands Pharmacy #2
Practice address
1513 N Howe St
Suite 8
Southport, NC 28461-2769
Phone
(910) 454-9090
Fax
(910) 454-9555
NPI assigned
Dec 3, 2013
Last updated
Jan 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Authorized official

Name
Mr. Abhijitkumar Ma Chauhan
Title
Co-Owner
Phone
(910) 454-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11755 NC Primary

Addresses

Primary practice location

1513 N Howe St
Suite 8
Southport, NC 28461-2769

Mailing address

1513 N Howe St
Suite 8
Southport, NC 28461-2769
Phone (910) 454-9090

Other names 1

  • Galloway-Sands Pharmacy #2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20111202000582 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7315149929 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southport, NC; Supply, NC
O20140401000208 NC DME Supplier - Pharmacy 7315149929 Practice locations: Southport, NC
O20201030000331 NC Part B Supplier - Pharmacy 7315149929 Practice locations: Southport, NC
O20210104002148 NC Part B Supplier - Independent Clinical Laboratory 7315149929 Practice locations: Southport, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Galloway Sands LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1513 N Howe St
Ste 8
Southport, NC 28461
Phone (910) 454-9090

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1255762134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 N HOWE ST",
            "address_2": "SUITE 8",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612769",
            "telephone_number": "910-454-9090",
            "fax_number": "910-454-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 N HOWE ST",
            "address_2": "SUITE 8",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612769",
            "telephone_number": "910-454-9090",
            "fax_number": "910-454-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY SANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "ABHIJITKUMAR",
        "authorized_official_middle_name": "MA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-454-9090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galloway-Sands Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.