Active NPI
Amy Gibbons, PHARMD
- Pharmacist
- Fort Smith, AR
National Provider Identifier
1013344886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9843
- Practice address
- 700 Lexington Ave
Fort Smith, AR 72901-4738 - Phone
- (479) 782-2881
- Fax
- (479) 782-2881
- NPI assigned
- Oct 10, 2013
- Last updated
- Oct 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 9843 | AR | Primary |
Addresses
Primary practice location
700 Lexington Ave
Fort Smith, AR 72901-4738
Mailing address
700 Lexington Ave
Fort Smith, AR 72901-4738
Phone (479) 782-2881
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 |
|---|---|---|---|
| 9843 | AR | MD | Dental Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1013344886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LEXINGTON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014738",
"telephone_number": "479-782-2881",
"fax_number": "479-782-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LEXINGTON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014738",
"telephone_number": "479-782-2881",
"fax_number": "479-782-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "AMY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-10",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "9843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.