Goshen Medical Center Incorporated
Organization Active NPI Clinic Pharmacy · Sanford, NC
NPI 1740966209 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1740966209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- Legal business name
- GOSHEN MEDICAL CENTER INCORPORATED
- Practice address
- 2807 S Horner Blvd
Sanford, NC 27332-8037 - Phone
- (910) 718-5200
- NPI assigned
- Jun 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Gregory M Bounds
- Title
- Ceo
- Phone
- (910) 267-1237
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 41
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2267569 | Goshen Medical Center - Sanford | Certificate of waiver | Aug 25, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200314000263 | NC | Part B Supplier - Pharmacy | 3173434479 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Whiteville, NC; Star, NC; Sanford, NC; Rockingham, NC; New Bern, NC; Morehead City, NC; Goldsboro, NC; Faison, NC… |
National Provider Directory
- Tax ID family
- Goshen Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2807 S Horner Blvd
Sanford, NC 27332-8037
Mailing address
PO Box 187
Faison, NC 28341-0187
Phone (910) 267-2057
Other names
- GMC Pharmacy at Sanford
Other providers in Sanford, NC
- Samantha Lynn Gooden
- Ragini Gorantla
- Michael A Gordon
- Samantha Gordon
- Goshen Medical Center Incorporated
- Kerstin Linnea Gothson
- Robert Blunt Gotschalk
- Crystal C Goudeau
- William Adam Gower
- Katherine Rose Grabrick
All providers in Sanford, NC · Clinic Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.