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Gateway Drug Store, Inc.

NPI 1831189679ActiveOrganization· Pharmacy· Loris, SC

Pharmacy in Loris, South Carolina, registered in NPPES in October 2005. The authorized official on file is Thomas Freddie Moore, RPH., President.

Overview

NPI1831189679
StatusActive
Entity typeOrganization
NPI issuedOct 24, 2005
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X50-000971SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Loris

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