Active NPI
Connie Gibson, PHARM.D.
- Pharmacist
- Houston, TX
National Provider Identifier
1013223635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38763
- Practice address
- 10919 Louetta Rd
Houston, TX 77070-1710 - Phone
- (281) 257-4655
- Fax
- (281) 257-4684
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38763 | TX | Primary |
Addresses
Primary practice location
10919 Louetta Rd
Houston, TX 77070-1710
Mailing address
5918 San Felipe St
#10
Houston, TX 77057-1989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38763 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1013223635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5918 SAN FELIPE ST",
"address_2": "#10",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10919 LOUETTA RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701710",
"telephone_number": "281-257-4655",
"fax_number": "281-257-4684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "CONNIE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.