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MOUNT GILEAD LLC
NPI 1104495522
Pharmacy - Long Term Care Pharmacy in Mount Gilead, NC

Active since June 21, 2021CLIA 34D2247731 · Waiver
116 S MAIN ST, MOUNT GILEAD, NC 27306(910) 439-6541(910) 439-5723 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mount Gilead Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT GILEAD LLC (NPI 1104495522) is a healthcare organization registered as a long term care pharmacy in Mount Gilead, North Carolina and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Anil Chinapaga, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104495522
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMOUNT GILEAD LLC
Location Address116 S MAIN STMount Gilead, NC 27306-9254
Mailing AddressPo Box 248Mount Gilead, NC 27306-0248 · (910) 439-6541 · Fax (910) 439-5723
Phone(910) 439-6541
Fax(910) 439-5723
Organization SubpartYes
Authorized OfficialAnil ChinapagaManaging Member · (910) 439-6541
Enumeration DateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1104495522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
116 S MAIN ST, Mount Gilead, NC 27306
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2247731

Mt Gilead LLC Dba Cochrane-Ridenhour Drug Co · Mount Gilead, NC
Active · expires Jan 8, 2028
CLIA Number34D2247731
Laboratory TypePharmacy
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorAnil Chinapaga
Laboratory Phone(910) 439-6541
Laboratory LocationMt Gilead LLC Dba Cochrane-Ridenhour Drug Co116 South Main Street, Mount Gilead, NC 27306
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JULIA WALLACE BAMBAUER RPH
Pharmacist
116 S MAIN ST
MOUNT GILEAD, NC 27306
Montgomery County (910) 439-6541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mount Gilead LLC's NPI number?

The NPI number for Mount Gilead LLC is 1104495522. It was assigned to this organization in the NPPES registry on June 21, 2021.

Where is Mount Gilead LLC located?

Mount Gilead LLC is located at 116 S Main St, Mount Gilead, NC 27306. The listed phone number is (910) 439-6541.

What is Mount Gilead LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Mount Gilead LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2247731) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mount Gilead LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 13 other insurers list Mount Gilead LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mount Gilead LLC was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.