GATES PHARMACY – Community/Retail Pharmacy, NPI 1679615249

GATES PHARMACY is a healthcare provider. based in Elyria, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. 020532350 (OH). The NPI Number for GATES PHARMACY is 1679615249

Main info

Organization
Name
GATES PHARMACY
NPI
1679615249
Phone
(440) 329-7300
Address
125 E BROAD ST
Authorized Official
JOYCE MORAN MGR,PIC, AO RPH
Enumeration Date
12 February 2007
Last Update Date
4 April 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for GATES PHARMACY

  • East Broad Street, Washington Avenue Historic District, Elyria, Lorain County, Ohio, 44035, United States

    SUITE 109

    ELYRIA, OH 440356400

    Phone: (440) 329-7300

    Fax: (440) 329-7441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20241220003626OPharmacyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44035)

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Reviews

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Frequently asked questions

What identifier follows GATES PHARMACY across health systems?
The NPI 1679615249 uniquely identifies GATES PHARMACY in U.S. healthcare data.
Is GATES PHARMACY's NPI status active today?
Active status means GATES PHARMACY's NPI record is not deactivated in the public file.
Which specialty label fits GATES PHARMACY?
NPPES ties GATES PHARMACY to Community/Retail Pharmacy in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit GATES PHARMACY in Elyria, Ohio?
For routing, start with Elyria, Ohio for GATES PHARMACY, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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