Organization Active NPI

Gateway Pharmacy of Monroe City

  • Community/Retail Pharmacy
  • Monroe City, MO
National Provider Identifier
1982619508
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
004700 Issued in MO
Legal business name
GATEWAY PHARMACY OF MONROE CITY
Doing business as
Gateway Pharmacy of Monroe City
Practice address
1110 Highway 24/36 E Suite 28
Monroe City, MO 63456
Phone
(573) 735-4880
Fax
(573) 735-4831
NPI assigned
Jul 30, 2006
Last updated
Aug 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Janet Saunders
Title
Owner
Phone
(573) 735-4880

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 004700 MO Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

1110 Highway 24/36 E Suite 28
Monroe City, MO 63456

Mailing address

1110 Highway 24/36 E Suite 28
Monroe City, MO 63456
Phone (573) 735-4880

Other identifiers 2

IdentifierTypeStateIssuer
2050879OtherPK
602365306MedicaidMO

Other names 1

  • GATEWAY PHARMACY OF MONROE CITY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1982619508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HIGHWAY 24/36 E SUITE 28",
            "city": "MONROE CITY",
            "state": "MO",
            "postal_code": "63456",
            "telephone_number": "573-735-4880",
            "fax_number": "573-735-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HIGHWAY 24/36 E SUITE 28",
            "city": "MONROE CITY",
            "state": "MO",
            "postal_code": "63456",
            "telephone_number": "573-735-4880",
            "fax_number": "573-735-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHARMACY OF MONROE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-735-4880"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "004700",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050879",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602365306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATEWAY PHARMACY OF MONROE CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.