Individual provider Active NPI

Hillery Adelle Gibbons

  • Pharmacist
  • Darien, CT
National Provider Identifier
1043784689
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054854 Issued in NY
Practice address
10 Hillcrest Ave
Darien, CT 06820-3706
Phone
(813) 493-1381
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS50137 FL
Pharmacist 183500000X 054854 NY Primary

Addresses

Primary practice location

10 Hillcrest Ave
Darien, CT 06820-3706

Mailing address

10 Hillcrest Ave
Darien, CT 06820-3706
Phone (813) 493-1381

Other practice location 1

113 W 25th St
New York, NY 10001-7243
Phone (212) 675-3900

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

State licenses

LicenseStateTypeSpecialty
PS50137FLMDPharmacist
054854NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Capsule Corporation Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1043784689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HILLCREST AVE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203706",
            "telephone_number": "813-493-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HILLCREST AVE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203706",
            "telephone_number": "813-493-1381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 W 25th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100017243",
            "country_code": "US",
            "telephone_number": "212-675-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "HILLERY",
        "middle_name": "ADELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50137",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.