Active NPI
Paul Stephen Gibbs, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1083626154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33779
- Practice address
- 3603 Paesanos Pkwy Ste 102
San Antonio, TX 78231 - Phone
- (210) 448-9080
- Fax
- (210) 764-1038
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- 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 | 33779 | TX | Primary |
Addresses
Primary practice location
3603 Paesanos Pkwy Ste 102
San Antonio, TX 78231
Mailing address
31020 Woodbine Way
Fair Oaks Ranch, TX 78015
Phone (830) 388-0399
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33779 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1083626154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31020 WOODBINE WAY",
"city": "FAIR OAKS RANCH",
"state": "TX",
"postal_code": "78015",
"telephone_number": "830-388-0399",
"fax_number": "210-764-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3603 PAESANOS PKWY STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78231",
"telephone_number": "210-448-9080",
"fax_number": "210-764-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "PAUL",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "33779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.