Gibson Drug, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10830153 Issued in KS

Legal business name

GIBSON DRUG, INC

Doing business as

GIbson Health Mart

Practice address

125 N. Main St.
Wakeeney, KS 67672

Phone

(785) 743-5753

NPI assigned

Sep 21, 2006

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bernita Augustine

Title

President

Phone

(785) 743-5753

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GIbson Health Mart Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Ashmore, PHARM. D.

  • Pharmacist
  • Wakeeney, KS
  • NPI 1043602204
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1114026895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N. MAIN ST.",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "67672",
            "telephone_number": "785-743-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N. MAIN ST.",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "67672",
            "telephone_number": "785-743-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON DRUG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "BERNITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-743-5753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "10830153",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100435710A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIbson Health Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David B. Day, P.A.-C
• Paulo R. De Andrade, M.D.
• E Medical Group of Kansas No. 5, LLC (Angels Care Home Health of Dodge City)
• Lisa Frost, ARNP
• Sarah Christine Gibbs, APRN-C
• Anjanette Veronica Gideon, LSCSW
• Jessica L Haase, MSN, APRN, PMHNP-BC
• Allison Paige Harris
• Heather a Robben OD LLC
• Delaney Henderson, PA-C

• Community/Retail Pharmacy in Wakeeney, KS
• Providers in Wakeeney, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.