Active NPI
Gaston Enterprises, Inc.
- Pharmacy
- Gastonia, NC
National Provider Identifier
1477791986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 3679
- Legal business name
- GASTON ENTERPRISES, INC.
- Practice address
- 515 Cox Rd
Gastonia, NC 28054-0628 - Phone
- (704) 867-5343
- Fax
- (704) 864-1499
- NPI assigned
- Jan 22, 2009
- 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
- Donald Ray Thrower, RPH
- Title
- Pharmacist Manager/Owner
- Phone
- (704) 867-5343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 3679 | NC | Primary |
Addresses
Primary practice location
515 Cox Rd
Gastonia, NC 28054-0628
Mailing address
515 Cox Rd
Gastonia, NC 28054-0628
Phone (704) 867-5343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0365528 | Medicaid | NC |
Other names 1
- Medical Center Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Gaston Enterprises Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Gastonia, NC
- NPI 1770250961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629849600000",
"number": "1477791986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540628",
"telephone_number": "704-867-5343",
"fax_number": "704-864-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540628",
"telephone_number": "704-867-5343",
"fax_number": "704-864-1499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTON ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-22",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A",
"authorized_official_last_name": "THROWER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "PHARMACIST MANAGER/OWNER",
"authorized_official_telephone_number": "704-867-5343",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "3679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0365528",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Center Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Medical Center Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.