Active NPI
Future Gate Enterprises LLC
- Pharmacy
- Mason, OH
National Provider Identifier
1821655051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- FUTURE GATE ENTERPRISES LLC
- Doing business as
- Xtra Care Pharmacy
- Practice address
- 7920 S Mason Montgomery Rd
Mason, OH 45040-8249 - Phone
- (513) 546-2422
- NPI assigned
- May 22, 2019
- 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
- Angi Hafez
- Title
- Owner
- Phone
- (513) 546-2422
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
7920 S Mason Montgomery Rd
Mason, OH 45040-8249
Mailing address
7920 S Mason Montgomery Rd
Mason, OH 45040-8249
Phone (513) 546-2422
Other names 1
- Xtra Care Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231024001550 | OH | Part B Supplier - Pharmacy | 5991151151 | Practice locations: Mason, OH |
National Provider Directory
National Provider Directory- Tax ID family
- Future Gate Enterprises LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Mason, OH
- NPI 1982532040
Locations
7920 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 546-2422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558483200000",
"number": "1821655051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 S MASON MONTGOMERY RD",
"city": "MASON",
"state": "OH",
"postal_code": "450408249",
"telephone_number": "513-546-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 S MASON MONTGOMERY RD",
"city": "MASON",
"state": "OH",
"postal_code": "450408249",
"telephone_number": "513-546-2422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUTURE GATE ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A",
"authorized_official_last_name": "HAFEZ",
"authorized_official_first_name": "ANGI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-546-2422"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Xtra Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.