Gates Pharmacy
LBN: Innovative Meds Rx
Gates Pharmacy is an health care organization with primary practice located at 364 N South St , Mount Airy NC 27030-3532. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Ambulatory Health Care Facilities / Medical Specialty, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Innovative Meds Rx can be contacted via phone (336) 789-5050, or through Kos, Richard via phone (919) 475-8706.
Contact Information
Primary practice address
364 N South St
Mount Airy NC 27030-3532
Phone: (336) 789-5050
Fax: (336) 786-7169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 11190 | North Carolina |
Profile Details
| NPI number | 1700154366 |
|---|---|
| LBN Legal business name | Innovative Meds Rx |
| DBA Doing business as | Gates Pharmacy |
| Authorized official | Kos, Richard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 9th, 2011 |
| Last updated | Jul 6th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700154366 | NPPES |
| Other | 3459953 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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