NPIMap

Organization Active NPI

Gibson Sales LP

  • Community/Retail Pharmacy
  • Amarillo, TX
National Provider Identifier
1023069895
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22538 Issued in TX
Legal business name
GIBSON SALES LP
Practice address
4210 SW 45TH Ave Ste B
Amarillo, TX 79109-0400
Phone
(806) 358-1800
Fax
(903) 297-2895
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Magliolo, RPH
Title
Director of Pharmacy
Phone
(903) 297-0766

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 22538 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4210 SW 45TH Ave Ste B
Amarillo, TX 79109-0400

Mailing address

PO Box 6238
Longview, TX 75608-6238
Phone (903) 297-0766

Other identifiers 1

IdentifierTypeStateIssuer
144271MedicaidTX

Other names 1

  • Drug Emporium 230 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140605000795 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5890919245 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waco, TX; Tyler, TX; Lubbock, TX; Amarillo, TX; Abilene, TX; Longview, TX

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Drug Emporium 2009 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

505 Bertrand Dr
#220
Lafayette, LA 70506
Phone (337) 261-0337

5819 E Kings Hwy
#210
Shreveport, LA 71105
Phone (318) 861-7898

2550 Barrow St
#251
Abilene, TX 79605
Phone (325) 698-0442

4210 SW 45th Ave
Ste B
Amarillo, TX 79109
Phone (806) 358-1800

824 W University Dr
#101
Denton, TX 76201
Phone (940) 387-1290

2321 W Loop 281
#200
Longview, TX 75604
Phone (903) 297-0558

5109 82nd St
#262
Lubbock, TX 79424
Phone (806) 794-0022

5614 S Broadway Ave
#284
Tyler, TX 75703
Phone (903) 534-9105

5900 Bosque Blvd
#273
Waco, TX 76710
Phone (254) 772-0011

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1023069895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6238",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756086238",
            "telephone_number": "903-297-0766",
            "fax_number": "903-297-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SW 45TH AVE STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791090400",
            "telephone_number": "806-358-1800",
            "fax_number": "903-297-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON SALES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "MAGLIOLO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "903-297-0766",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22538",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144271",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Emporium 230",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.