Jeffery Tyler Giebelhausen, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051301735 Issued in IL

Practice address

9219 N Lindbergh Dr
Peoria, IL 61615-1425

Phone

(309) 692-0473

Fax

(309) 692-0583

NPI assigned

Nov 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Peoria, IL
  • NPI 1417020033
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1023654605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 N LINDBERGH DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151425",
            "telephone_number": "309-692-0473",
            "fax_number": "309-692-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 N LINDBERGH DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151425",
            "telephone_number": "309-692-0473",
            "fax_number": "309-692-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEBELHAUSEN",
        "first_name": "JEFFERY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051301735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "9219 N Lindbergh Dr",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616151425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Gibbs
• Laura Michelle Gibbs, MA, LCPC
• Jack Michael Gibson, M.D.
• Jennifer Gibson, O.T.
• Julie Giddens, PHARMD
• George Carlton Gilbert, M.D.
• Thomas Patrick Gilfillan, D.D.S.
• Debra N Gill, SPEECH THERAPIST
• Heather A Gill, PT
• Nicole Marie Gill, NP-C

• Pharmacist in Peoria, IL
• Providers in Peoria, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.