Randy'S Gateway Drug, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

RANDY'S GATEWAY DRUG, INC

Practice address

3118 Cedar Valley Dr
Richlands, VA 24641-3075

Phone

(276) 964-2494

Fax

(276) 963-2920

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

James H Gibson, RPHNPI 1376888065

Title

Pharmacist/President

Phone

(276) 964-2494

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• James H Gibson III, PHARM,D.

  • Pharmacist
  • Richlands, VA
  • NPI 1376888065
  NPD (past) Authorized official

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725062400000",
    "number": "1992705339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 CEDAR VALLEY DR",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246413075",
            "telephone_number": "276-964-2494",
            "fax_number": "276-963-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 CEDAR VALLEY DR",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246413075",
            "telephone_number": "276-964-2494",
            "fax_number": "276-963-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY'S GATEWAY DRUG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "276-964-2494",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201003219",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8505756",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fallon Poole, QMHP-T
• Sally T. Presnell, REGISTERED DIETITIAN
• Timothy Andrew Presnell, MD
• Edwin E Pruett, RPH
• Natasha Ramey
• Lisa Rasnick, LPC
• Dara Ratliff, FNP
• Michael A Ratliff
• Ravi K Titha MD PC
• Tammy Richardson, CNP

• Pharmacy in Richlands, VA
• Providers in Richlands, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.