Active NPI
Gaben
- Community/Retail Pharmacy
- Knightdale, NC
National Provider Identifier
1851660807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11174
- Legal business name
- GABEN
- Practice address
- 6602 Knightdale Blvd
Suite 120
Knightdale, NC 27545-6525 - Phone
- (919) 295-1112
- Fax
- (919) 295-1164
- NPI assigned
- Dec 20, 2011
- 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
- Segmia Kenna Tohnya, PHARM.D.
- Title
- Pharmacy Director
- Phone
- (443) 621-4271
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 11174 | NC | Primary |
Addresses
Primary practice location
6602 Knightdale Blvd
Suite 120
Knightdale, NC 27545-6525
Mailing address
6602 Knightdale Blvd
Suite 120
Knightdale, NC 27545-6525
Phone (919) 295-1112
Other names 1
- Knightdale Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131014001478 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9032373857 | Practice locations: Knightdale, NC |
National Provider Directory
National Provider DirectoryLocations
6602 Knightdale Blvd
Ste 120
Knightdale, NC 27545
Phone (919) 295-1112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Knightdale, NC
- NPI 1811155807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360022400000",
"number": "1851660807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6602 KNIGHTDALE BLVD",
"address_2": "SUITE 120",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456525",
"telephone_number": "919-295-1112",
"fax_number": "919-295-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6602 KNIGHTDALE BLVD",
"address_2": "SUITE 120",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456525",
"telephone_number": "919-295-1112",
"fax_number": "919-295-1164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GABEN",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-20",
"last_updated": "2013-02-05",
"status": "A",
"authorized_official_last_name": "TOHNYA",
"authorized_official_first_name": "SEGMIA",
"authorized_official_middle_name": "KENNA",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "443-621-4271",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "11174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Knightdale Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.