GATEWAY PHARMACY LLC (NPI# 1497847776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497847776 |
| Entity Type | Organization |
| Organization Name | GATEWAY PHARMACY LLC |
| Other Organization Name | GATEWAY HEALTH MART PHARMACY MANDAN |
| Practice Address |
500 Burlington St Se Mandan ND 58554-4281 |
| Mailing Address |
Po Box 994 Bismarck ND 58502-0994 |
| Practice Telephone | 7016671843 |
| Mailing Telephone | 7016671843 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | MR. MARK ANTHONY AURIT (PRESIDENT) |
| Authorized Official Telephone | 7012249521 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
347 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 8534070 | 05 | |
| ND | 21281 | 05 | |
| ND | NCPDP NUMBER | 3503821 | 01 |
| ND | DEA LICENSE NUMBER | BG6061004 | 01 |
| Other Name | Type Code |
|---|---|
| Gateway Health Mart Pharmacy Mandan | Doing Business As Name - Organization |
| Gateway Pharmacy Mandan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205927571 | Gateway Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 835 S Washington St, Suite #2, Bismarck, ND 58504-5477 | 2006-09-28 |
| 1447356399 | Gateway Pharmacy LLC | Pharmacy | 3101 N 11th St, Suite#2, Bismarck, ND 58503-0594 | 2006-09-16 |
| 1982665170 | Gateway Pharmacy LLC | Pharmacy | 510 Pineview Dr, Kernersville, NC 27284-3663 | 2006-03-29 |
| 1356823389 | Gateway Pharmacy LLC | Pharmacy | 3103 Yorktown Dr, Bismarck, ND 58503-8526 | 2018-09-06 |
| 1275963308 | Gateway Pharmacy LLC | Pharmacy | 3103 Yorktown Dr, Ste 2, Bismarck, ND 58503-8526 | 2013-11-27 |
| Street Address |
500 BURLINGTON ST SE |
| City | MANDAN |
| State | ND |
| Zip Code | 58554-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316179567 | Heather Faye Johnson | Pharmacist | 500 Burlington St Se, Mandan, ND 58554-4281 | 2009-08-20 |
| 1285858233 | H. James Sunderland | Pharmacist | 500 Burlington St Se, Mandan, ND 58554-4281 | 2007-04-12 |
| 1669696886 | Scott Quinn Baisch | Pharmacist | 500 Burlington St Se, Mandan, ND 58554-4281 | 2007-04-11 |
| 1790805810 | Robert Alan Rauhauser | Pharmacist | 500 Burlington St Se, Mandan, ND 58554-4281 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1871029033 | Anthony Kozojed | Case Manager/Care Coordinator | 701 16th Ave Se, Mandan, ND 58554 | 2017-05-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1497157895 | West River Head Start | Public Health or Welfare | 1004 7th St Nw, Mandan, ND 58554 | 2014-09-17 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1689953036 | Timothy Lee Ulledahl | Physical Therapy Assistant | 1833 East Bismarck Expressway, Bismarck, ND 58554 | 2011-08-16 |
| 1316232887 | Nagel Family Chiropractic and Wellness LLC | Chiropractor | 2008 Twin City Drive, Mandan, ND 58554 | 2011-06-13 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| Find all providers in zip 58554 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
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| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1912416876 | Lifescript Pharmacy Pllc | Pharmacy | 5670 38th Ave S Unit A, Fargo, ND 58104-9051 | 2017-09-23 |
| 1205231990 | N D Pharmacy Inc | Pharmacy | 1283 Roughrider Blvd, Dickinson, ND 58601-6780 | 2014-10-24 |
| 1063839496 | G & G Rx Inc | Pharmacy | 1500 14th Street West, Suite 150, Williston, ND 58801-5303 | 2014-03-24 |
| 1962706036 | Inhealth Specialty Pharmacy, Inc. | Pharmacy | 2345 25th St S Ste C, Fargo, ND 58103-6173 | 2011-01-05 |
| 1982826756 | Integrated Health Marketing LLC | Pharmacy | 5675 26th Ave S Ste 136a, Fargo, ND 58104-8975 | 2007-05-02 |
| 1689725434 | Tioga Drug Inc | Pharmacy | 106 N. Main St., Tioga, ND 58852 | 2007-01-16 |
| 1891855326 | Sanger Inc | Pharmacy | 4101 13th Ave S, Fargo, ND 58103-3342 | 2006-12-12 |
| 1457419962 | Johnson Drug Co | Pharmacy | 2522 N Broadway, Fargo, ND 58102 | 2006-12-05 |
| 1306931977 | B & E Pharmacy Services Inc | Pharmacy | 2015 Library Circle, Grand Forks, ND 58201 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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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.