GMC PHARMACY AT BEULAVILLE
NPI 1558008664
Pharmacy - Community/Retail Pharmacy in Beulaville, NC

Active since May 19, 2022CLIA 34D0245975 · Microscopy
119 CROSSOVER RD, BEULAVILLE, NC 28518(910) 597-4455 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2023, Oct 28, 2022, May 19, 2022 (3 updates tracked since 2022).

About Gmc Pharmacy At Beulaville NPPES

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

GMC PHARMACY AT BEULAVILLE (NPI 1558008664) is a healthcare organization registered as a community/retail pharmacy in Beulaville, North Carolina and active in the NPI registry since May 2022. The organization holds a CLIA Microscopy certificate valid through January 13, 2027 and lists Gregory M Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558008664
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address119 CROSSOVER RDBeulaville, NC 28518-8801
Mailing AddressPo Box 187Faison, NC 28341-0187
Organization SubpartNo
Authorized OfficialGregory M BoundsCeo · (910) 267-1237
Enumeration DateMay 19, 2022
Last NPPES UpdateApril 10, 20233 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1558008664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacistTaxonomy 183500000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
119 CROSSOVER RD, Beulaville, NC 28518

Other Names 1

Doing Business AsGmc Pharmacy At Beulaville

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gmc Pharmacy At Beulaville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gmc Pharmacy At Beulaville, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1548035595
2807 S HOMER BLVD
Sanford, NC 27330
(984) 251-1331
✔ PECOS86 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0245975

Goshen Medical Center - Beulaville · Beulaville, NC
Active · expires Jan 13, 2027
CLIA Number34D0245975
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorCarl D. Pate
Laboratory Phone(919) 289-4165
Laboratory LocationGoshen Medical Center - Beulaville119 Crossover Road W, Beulaville, NC 28518
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Goshen Medical Center Incorporated's NPI number?

The NPI number for Goshen Medical Center Incorporated is 1558008664. It was assigned to this organization in the NPPES registry on May 19, 2022. The provider is doing business as Gmc Pharmacy At Beulaville.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 119 Crossover Rd, Beulaville, NC 28518. The listed phone number is (910) 597-4455.

What is Goshen Medical Center Incorporated's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Goshen Medical Center Incorporated enrolled in Medicare?

Yes. Goshen Medical Center Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goshen Medical Center Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Goshen Medical Center Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Goshen Medical Center Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0245975) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goshen Medical Center Incorporated accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 42 other insurers list Goshen Medical Center Incorporated 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 Goshen Medical Center Incorporated was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.