Organization Active NPI

Gaston Enterprises Inc

Doing business as Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Gastonia, NC
National Provider Identifier
1740203413
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03679 Issued in NC
Legal business name
GASTON ENTERPRISES INC
Doing business as
Medical Center Pharmacy
Practice address
515 Cox Rd
Gastonia, NC 28054-0628
Phone
(704) 867-5343
Fax
(704) 864-1499
NPI assigned
Jul 25, 2006
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Donald Thrower, RPHNPI 1568609451
Title
Manager Owner
Phone
(704) 867-5343

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
Community/Retail Pharmacy 3336C0003X 03679 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 2

IdentifierTypeStateIssuer
0365528MedicaidNC
2068382OtherPK

Other names 1

  • MEDICAL CENTER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000149 NC Part B Supplier - Mass Immunization (Roster Biller Only) 6608943733 Practice locations: Gastonia, NC

National Provider Directory

National Provider Directory

Locations

515 Cox Rd
Gastonia, NC 28054
Phone (704) 867-5343

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1740203413",
    "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": "2006-07-25",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "THROWER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "704-867-5343",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365528",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068382",
            "state": null
        }
    ],
    "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 Feb 10, 2021; 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.

Verify at the official NPI Registry.