Gateway Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00724500 Issued in NJ

Legal business name

GATEWAY PHARMACY INC

Doing business as

Gateway Pharmacy

Practice address

1 Gateway Ctr
Newark, NJ 07102-5310

Phone

(973) 732-6900

Fax

(973) 732-6906

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Avner KhaimovNPI 1699046227

Title

President

Phone

(973) 732-6900

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Gateway Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avner Khaimov, PHARM.D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1699046227
  NPD Authorized official

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1881932465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GATEWAY CTR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025310",
            "telephone_number": "973-732-6900",
            "fax_number": "973-732-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GATEWAY CTR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025310",
            "telephone_number": "973-732-6900",
            "fax_number": "973-732-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "AVNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-732-6900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00724500",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary J Krugman DMD PC
• Katie Gasik
• Carline Y Gaston
• Gateway Emergency Services PC
• Gateway Pharmacy Inc
• Santangela A Gatson, NP
• Jessica Ronae Gavin
• Gaviota Corporation
• Colette Bianca Gazonas, MD
• Akuwa D Gbogbotsi, APN

• Community/Retail Pharmacy in Newark, NJ
• Providers in Newark, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.