Active NPI
Goshen Medical Center Incorporated
Doing business as Goshen - GMC Pharmacy at Southport
- Clinic Pharmacy
- Southport, NC
National Provider Identifier
1750407128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- GOSHEN MEDICAL CENTER INCORPORATED
- Doing business as
- Goshen - GMC Pharmacy at Southport
- Practice address
- 4654 Long Beach Rd SE
Southport, NC 28461-8799 - Phone
- (910) 267-0421
- NPI assigned
- Mar 21, 2007
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Bounds
- Title
- Executive Director
- Phone
- (910) 267-0421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | NU | Primary |
Addresses
Primary practice location
4654 Long Beach Rd SE
Southport, NC 28461-8799
Mailing address
PO Box 187
Faison, NC 28341-0187
Phone (910) 267-0421
Other names 2
- Goshen - GMC Pharmacy at Southport
- Goshen Medical Center Trenton
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1750407128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "FAISON",
"state": "NC",
"postal_code": "283410187",
"telephone_number": "910-267-0421",
"fax_number": "910-267-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4654 LONG BEACH RD SE",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284618799",
"telephone_number": "910-267-0421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOSHEN MEDICAL CENTER INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "BOUNDS",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "910-267-0421"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goshen - GMC Pharmacy at Southport",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Goshen Medical Center Trenton",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southport, NC
- Galloway Sands, LLC (Galloway-Sands Pharmacy #2)
- Galloway Sands, LLC (Galloway-Sands Pharmacy #2)
- Nathan Garrett
- Sue Leeuwenburg Gibson, RPH
- Goshen Medical Center Incorporated (Goshen Medical Center - Southport)
- Jeremy Brian Grissett, DPT
- Regina Z Gum, PA-C
- Lenard Clifton Hammond, DC
- Deborah Hanna, LPC,LMFT
- Harmony Dental of Southport
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.