NPIMap

Organization Active NPI

Gateway Community SVC Board

Doing business as Gateway CSB Pharmacy

  • Specialty Pharmacy
  • Savannah, GA
National Provider Identifier
1962584193
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PHRE006000 Issued in GA
Legal business name
GATEWAY COMMUNITY SVC BOARD
Doing business as
Gateway CSB Pharmacy
Practice address
800 E 70TH St
Savannah, GA 31405-4813
Phone
(912) 790-6220
Fax
(912) 349-4328
NPI assigned
Oct 19, 2006
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Nancy Bright, RPH
Title
Pic
Phone
(912) 790-6220

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X NU
Specialty Pharmacy 3336S0011X PHRE006000 GA Primary

Addresses

Primary practice location

800 E 70TH St
Savannah, GA 31405-4813

Mailing address

800 E 70TH St
Savannah, GA 31405-4813
Phone (912) 790-6220

Other identifiers 2

IdentifierTypeStateIssuer
1144980OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00864729AMedicaidGA

Other names 1

  • GATEWAY CSB PHARMACY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2279238Gateway Community Service Board800 East 70TH Street, Savannah, GA 31405Certificate of waiverMar 30, 2027
11D2279240Gateway Community Service Board800 East 70TH Street, Savannah, GA 31405Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Marsh Haven72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1962584193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054813",
            "telephone_number": "912-790-6220",
            "fax_number": "912-349-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054813",
            "telephone_number": "912-790-6220",
            "fax_number": "912-349-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMMUNITY SVC BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "912-790-6220",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "GA",
            "license": "PHRE006000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1144980",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00864729A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATEWAY CSB PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.