Organization Active NPI

Gibson Pharmacy

  • Preferred Provider Organization
  • Pearland, TX
National Provider Identifier
1114902608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
12485 Issued in TX
Legal business name
GIBSON PHARMACY
Practice address
3538 Broadway St
Pearland, TX 77581-4307
Phone
(281) 485-3282
Fax
(281) 485-3281
NPI assigned
Dec 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Mary Hoang Tran, R.PH.
Title
President
Phone
(281) 485-3282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 12485 TX Primary

Addresses

Primary practice location

3538 Broadway St
Pearland, TX 77581-4307

Mailing address

3538 Broadway St
Pearland, TX 77581-4307
Phone (281) 485-3282

Other names 1

  • TCC Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

3538 Broadway St
Pearland, TX 77581
Phone (281) 485-3282

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114902608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814307",
            "telephone_number": "281-485-3282",
            "fax_number": "281-485-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814307",
            "telephone_number": "281-485-3282",
            "fax_number": "281-485-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-485-3282",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "12485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCC Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.