MEDICARE: GATEWAY PRESCRIPTION CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		FL
2	333600000X	Pharmacy	PH8820	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	PH8820	OTHER	FL	PHARMACY LICENSE

General Provider Information

NPI Number	:	1275510208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY PRESCRIPTION CENTER, INC

Provider Business Mailing Address
First Line	:	1465 W US HIGHWAY 90
Second Line	:	SUITE #110
City	:	LAKE CITY
State	:	FL
Zip	:	32055-6123
Country	:	US
Telephone Number	:	386-755-2233
Fax Number	:	386-752-6721

Provider Business Practice Location Address
First Line	:	1465 W US HIGHWAY 90
Second Line	:	SUITE #110
City	:	LAKE CITY
State	:	FL
Zip	:	32055-6123
Country	:	US
Telephone Number	:	386-755-2233
Fax Number	:	386-752-6721

Authorized Official
Title or Position	:	OWNER, PRESIDENT
Name	:	CARL L ALLISON
Credential	:	RPH
Telephone Number	:	386-719-9952

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	09/08/2025

Similar Medicare Providers

1235212952 — RICHARD H NABINGER II PHARMD
Practice Location Address:

1465 W US HIGHWAY 90 , SUITE 110
LAKE CITY, FL
32055-6123

Practice Phone: 386-755-2233
Practice Fax:

1053550020 — GATEWAY PRESCRIPTION CENTER INC
Practice Location Address:

1465 W US HIGHWAY 90 , SUITE 115
LAKE CITY, FL
32055-6123

Practice Phone: 386-755-2233
Practice Fax: 386-752-6721

1447688619 — BAYA URGENT CARE LLC
Practice Location Address:

1465 W US HIGHWAY 90 , SUITE 100
LAKE CITY, FL
32055-6123

Practice Phone: 386-755-2268
Practice Fax:

1841507118 — DR. LISA MARIE MCAFEE D.O.
Practice Location Address:

1940 MESQUITE AVE
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-459-3512
Practice Fax:

1295212660 — NICHOLAS BEARD LPC
Practice Location Address:

1940 MESQUITE AVE STE O
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-732-0470
Practice Fax: 928-756-0580

1811545536 — RTA HOSPICE, LLC
Practice Location Address:

1940 MESQUITE AVE STE I
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-302-2251
Practice Fax: 866-955-8548

Directions to “GATEWAY PRESCRIPTION CENTER, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.