Organization Active NPI

Eastgate Pharmacy Inc

Doing business as Eastgate Pharmacy

  • Community/Retail Pharmacy
  • Sylva, NC
National Provider Identifier
1609887264
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5324 Issued in NC
Legal business name
EASTGATE PHARMACY INC
Doing business as
Eastgate Pharmacy
Practice address
93 Eastgate Dr
Sylva, NC 28779-5171
Phone
(828) 586-4605
Fax
(828) 586-6176
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Stuart CowanNPI 1144436536
Title
Owner
Phone
(828) 586-4605

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5324 NC Primary

Addresses

Primary practice location

93 Eastgate Dr
Sylva, NC 28779-5171

Mailing address

93 Eastgate Dr
Sylva, NC 28779-5171
Phone (828) 586-4605

Other identifiers 1

IdentifierTypeStateIssuer
2067492OtherPK

Other names 1

  • EASTGATE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

93 Eastgate Dr
Sylva, NC 28779
Phone (828) 586-4605

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1609887264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 EASTGATE DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795171",
            "telephone_number": "828-586-4605",
            "fax_number": "828-586-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 EASTGATE DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795171",
            "telephone_number": "828-586-4605",
            "fax_number": "828-586-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTGATE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-586-4605"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067492",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTGATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.