NPIMap

Organization Active NPI

Gaston Health Associates

Doing business as Gaston Family Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Gaston, SC
National Provider Identifier
1629279377
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DE2541 Issued in SC
Legal business name
GASTON HEALTH ASSOCIATES
Doing business as
Gaston Family Pharmacy
Practice address
1118 Mack St
Gaston, SC 29053-0000
Phone
(803) 939-8489
Fax
(803) 939-8492
NPI assigned
May 30, 2007
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Mr. Kyle Franklin McHugh, RPHNPI 1275490468
Title
Owner
Phone
(803) 939-8489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DE2541 SC Primary

Addresses

Primary practice location

1118 Mack St
Gaston, SC 29053-0000

Mailing address

PO Box 310
1118 Mack St
Gaston, SC 29053-0000
Phone (803) 939-8489

Other identifiers 1

IdentifierTypeStateIssuer
DE2541MedicaidSC

Other names 1

  • Gaston Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gaston Family Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1629279377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "address_2": "1118 MACK ST",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290530000",
            "telephone_number": "803-939-8489",
            "fax_number": "803-939-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MACK ST",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290530000",
            "telephone_number": "803-939-8489",
            "fax_number": "803-939-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-939-8489",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "DE2541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2541",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaston Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gaston Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.