GASTON MEMORIAL HOSPITAL, INC (NPI# 1275559130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275559130 |
| Entity Type | Organization |
| Organization Name | GASTON MEMORIAL HOSPITAL, INC |
| Other Organization Name | GASTON MEMORIAL HOSPITAL - PHARMACY |
| Practice Address |
2525 Court Dr Gastonia NC 28054-2140 |
| Mailing Address |
2525 Court Dr P.o. Box 1747 Gastonia NC 28054-2140 |
| Practice Telephone | 7048342758 |
| Practice Fax Number | 7048342759 |
| Mailing Telephone | 7048342155 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-01-30 |
| Authorized Official Name | MICHAEL MOLBY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7048342239 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 01191 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3400032 | 05 | |
| NC | 0365379 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3406407 | 01 |
| Other Name | Type Code |
|---|---|
| Gaston Memorial Hospital - Pharmacy | Doing Business As Name - Organization |
| Street Address |
2525 COURT DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664098 | Philip George Leone | Specialist | 2525 Court Dr, Gastonia, NC 28054-2140 | 2005-07-26 |
| 1124657564 | Jessica Underwood | Registered Nurse | 2525 Court Dr, Gastonia, NC 28054-2140 | 2020-04-07 |
| 1376182055 | Haley Noelle Devoe | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-12-30 |
| 1376182261 | Nicole Ruth Ann Bolt | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-12-26 |
| 1902441082 | Brennan Yett | Registered Nurse | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-11-12 |
| 1427692227 | Kara P Wilson | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-11-05 |
| 1568013233 | Rebecca Tooley Woodring | Physical Therapist | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-09-24 |
| 1730734989 | Rachel Carnicelli | Physician Assistant | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-08-05 |
| 1477113090 | Mckenzie Bolin Phillips | Nurse Practitioner | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-06-17 |
| 1528623840 | David Salter | Emergency Medicine | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184072936 | Gaston Pharmacy LLC | Pharmacy | 2605 S York Rd, Gastonia, NC 28052-6265 | 2016-06-01 |
| 1831593953 | New Hope Pharmacy LLC | Pharmacy | 2211 N New Hope Rd, Gastonia, NC 28054-2787 | 2014-10-17 |
| 1447683578 | Shiv Pharmacy Inc | Pharmacy | 1546 Union Rd Ste B, Gastonia, NC 28054-5521 | 2013-08-13 |
| 1194881078 | Prescriptions Plus Inc | Pharmacy | 1614 W Franklin Blvd, Gastonia, NC 28052-1423 | 2006-12-28 |
| 1003926700 | Kerr Drug Inc | Pharmacy | 1519 S York Rd, Gastonia, NC 28052-6137 | 2006-08-30 |
| 1225055494 | Wal-mart Stores East Lp | Pharmacy | 223 N Myrtle School Rd, Gastonia, NC 28052-1257 | 2006-07-16 |
| 1003890252 | Akers Pharmacy Inc | Pharmacy | 1595 E Garrison Blvd, Gastonia, NC 28054-5138 | 2005-12-01 |
| 1376190991 | You 1st Pharmacy, LLC | Pharmacy | 240 E Garrison Blvd, Gastonia, NC 28054-0460 | 2019-08-19 |
| 1477079283 | Gaston Family Health Services Inc | Pharmacy | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2017-08-15 |
| 1366844581 | Gaston Family Health Services Inc | Pharmacy | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2014-09-18 |
| Find all providers in GASTONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.