Active NPI
Gate City Pharmacy Inc
Doing business as Gate City Pharmacy
- Community/Retail Pharmacy
- Greensboro, NC
National Provider Identifier
1407843584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10415
- Legal business name
- GATE CITY PHARMACY INC
- Doing business as
- Gate City Pharmacy
- Practice address
- 803 Friendly Center Rd Ste C
Greensboro, NC 27408-2024 - Phone
- (336) 292-6888
- Fax
- (336) 294-9329
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Skertich
- Title
- Buyer
- Phone
- (336) 292-6888
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 10415 | NC | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
803 Friendly Center Rd Ste C
Greensboro, NC 27408-2024
Mailing address
803 Friendly Center Rd Ste C
Greensboro, NC 27408-2024
Phone (336) 292-6888
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0415133 | Medicaid | NC | |
| 7700707 | Medicaid | NC | |
| 2122643 | Other | PK |
Other names 1
- Gate City Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180904002046 | NC | Part B Supplier - Pharmacy | 9638295371 | Practice locations: Greensboro, NC |
National Provider Directory
National Provider DirectoryLocations
803 Friendly Center Rd
Ste C
Greensboro, NC 27408
Phone (336) 292-6888
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Greensboro, NC
- NPI 1457359960
-
- Pharmacist
- Greensboro, NC
- NPI 1457359846
-
- Pharmacist
- High Point, NC
- NPI 1992815393
-
- Pharmacist
- Greensboro, NC
- NPI 1699791269
-
- Pharmacist
- Greensboro, NC
- NPI 1326043795
-
- Pharmacist
- Greensboro, NC
- NPI 1942830237
-
- Pharmacist
- Greensboro, NC
- NPI 1306995121
-
- Pharmacist
- Greensboro, NC
- NPI 1063690220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1407843584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 FRIENDLY CENTER RD STE C",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082024",
"telephone_number": "336-292-6888",
"fax_number": "336-294-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 FRIENDLY CENTER RD STE C",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082024",
"telephone_number": "336-292-6888",
"fax_number": "336-294-9329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATE CITY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-04",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "SKERTICH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "BUYER",
"authorized_official_telephone_number": "336-292-6888"
},
"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": "NC",
"license": "10415",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0415133",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700707",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2122643",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gate City Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.