Gateway Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08506 Issued in NC

Legal business name

GATEWAY PHARMACY LLC

Doing business as

Gateway Pharmacy LLC

Practice address

510 Pineview Dr
Kernersville, NC 27284-3663

Phone

(336) 992-2111

Fax

(336) 992-2113

NPI assigned

Mar 29, 2006

Last updated

Mar 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roy LewterNPI 1588760987

Title

Owner

Phone

(336) 992-2111

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GATEWAY PHARMACY LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Otis Lewter, RPH

  • Pharmacist
  • Kernersville, NC
  • NPI 1588760987
  Authorized official Same address or phone

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1982665170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PINEVIEW DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843663",
            "telephone_number": "336-992-2111",
            "fax_number": "336-992-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PINEVIEW DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843663",
            "telephone_number": "336-992-2111",
            "fax_number": "336-992-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "LEWTER",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-992-2111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347199",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATEWAY PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gaston Family Health Services, Inc (Kintegra/SHA at Cash Elementary)
• Gaston Family Health Services, Inc (Kintegra/SHA at Kernersville Middle)
• Gaston Family Health Services, Inc (Kintegra/SHA at Kernersville Elementary)
• Gastroenterology Associates of the Piedmont, P.a.
• Gastroenterology Associates of the Piedmont, P.a.
• Jeevan Gautam, MD
• Subarna Gautam, M.D.
• Eric Gavour, MD
• Generations Family Practice, PA (Kernersville Primary Care)
• Tyana Geronimo

• Community/Retail Pharmacy in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.