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Organization

Innovative Meds Rx

NPI Record: ActivePharmacy — Community/Retail Pharmacy
NPI1700154366
Mount Airy, North Carolina

Provider's NPPES record last updated: July 6, 2021

Overview

Entity Type
Organization
NPI
1700154366
Primary Specialty
Pharmacy — Community/Retail Pharmacy
Practice Location
Mount Airy, North Carolina
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:26 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pharmacy

    Community/Retail Pharmacy

    Suppliers

    Primary

    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.

    Taxonomy code 3336C0003X
  • Registered Nurse

    Diabetes Educator

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WD0400X
  • Clinic/Center

    Medical Specialty

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

    Taxonomy code 261QM2500X

Provider-Reported License Information

Pharmacy (North Carolina)
11190
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

364 N South St

Mount Airy, North Carolina 27030-3532

Phone: (336) 789-5050

Other Names

  • Gates PharmacyReported February 14, 2012
  • Gates PharmacyReported December 19, 2018

Record Information

Enumeration Date
December 9, 2011
Provider's NPPES Record Last Updated
July 6, 2021
Certification Date
July 6, 2021
NPISignal NPPES Dataset
August 2026

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