Gateway Prescription Center, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH9798 Issued in FL

Legal business name

GATEWAY PRESCRIPTION CENTER, INC

Doing business as

Baya Pharmacy East

Practice address

780 SE Baya Dr
Lake City, FL 32025-5403

Phone

(386) 755-6677

Fax

(386) 755-4133

NPI assigned

Dec 29, 2005

Organization subpart

Yes

Parent organization

GATEWAY PRESCRIPTION CENTER, INC.As reported in NPPES

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

Authorized official

Name

Carl L Allison, RPH

Title

Owner, President

Phone

(386) 719-9952

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Baya Pharmacy East Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

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

• Gateway Prescription Center Inc

  • Oxygen Equipment & Supplies (DME)
  • Lake City, FL
  • NPI 1780281881

  3375757644

  Same PAC ID
• Gateway Prescription Center, Inc

  • Pharmacy
  • Lake City, FL
  • NPI 1275510208

  3375757644

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Gateway Prescription CT3 organizations share this tax ID, including this one

Part of

Gateway Prescription CT

Other organizations with this tax ID 2

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

• Gateway Prescription Center Inc

  • Oxygen Equipment & Supplies (DME)
  • Lake City, FL
  • NPI 1780281881
  NPD tax ID
• Gateway Prescription Center, Inc

  • Pharmacy
  • Lake City, FL
  • NPI 1275510208
  NPD tax ID

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.

• Gateway Prescription Center Inc

  • Long Term Care Pharmacy
  • Lake City, FL
  • NPI 1053550020
  NPPES parent name

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1578540530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255403",
            "telephone_number": "386-755-6677",
            "fax_number": "386-755-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255403",
            "telephone_number": "386-755-6677",
            "fax_number": "386-755-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PRESCRIPTION CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY PRESCRIPTION CENTER, INC.",
        "enumeration_date": "2005-12-29",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "386-719-9952",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH9798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH9798",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109639700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baya Pharmacy East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Raul Garriga-Diaz I, M.D.
• Cornelius Tyrell Gaskin, REGISTERED NURSE
• Gateway Prescription Center Inc
• Gateway Prescription Center Inc
• Gateway Prescription Center, Inc
• Gateway Surgical Group LLC
• Gateway Therapy Services LLC
• Luis Gaviria, LCSW
• Natalya V Gaydarzhi, LICSW
• GC Therapy Lake City, Inc

• Pharmacy in Lake City, FL
• Providers in Lake City, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.