Gaston Health Associates Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

50008011 Issued in SC

Legal business name

GASTON HEALTH ASSOCIATES INC

Doing business as

Gaston Family Pharmacy

Practice address

1118 Mack St
Gaston, SC 29053

Phone

(803) 939-8489

Fax

(803) 939-8489

NPI assigned

Oct 13, 2006

Last updated

Jan 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle McHugh, BSNPI 1275490468

Title

Owner

Phone

(803) 939-8489

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GASTON FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

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.

• Kyle Franklin McHugh

  • Pharmacist
  • West Columbia, SC
  • NPI 1275490468
  Authorized official Same address or phone

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1740370725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290530310",
            "telephone_number": "803-939-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MACK ST",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "29053",
            "telephone_number": "803-939-8489",
            "fax_number": "803-939-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON HEALTH ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-939-8489",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50008011",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4225543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780118",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GASTON FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandy Drawdy
• Elg Learning Group, LLC
• Empire Mobile Lab
• Fresenius Medical Care Cna Kidney Centers, LLC (Fresenius Kidney Care Gaston)
• Gaston Health Associates (Gaston Family Pharmacy)
• Lynne Carol Goudlock, LPN
• Healthstat Onsite Clinic Zeus Columbia
• Healthstat Onsite Clinic- Zeus Gaston
• William E. Hillman Jr., R.PH.
• Julia Holladay, MCD, CCC-SLP

• Pharmacy in Gaston, SC
• Providers in Gaston, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.