NPIMap

Individual provider Active NPI

Holly Smith Gipson, PHARM.D.

  • Pharmacist
  • Huntsville, AL
National Provider Identifier
1184050775
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17489 Issued in AL
Practice address
4851 Whitesburg Dr SE
Ste B
Huntsville, AL 35802-1626
Phone
(256) 650-2396
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17489 AL Primary

Addresses

Primary practice location

4851 Whitesburg Dr SE
Ste B
Huntsville, AL 35802-1626

Mailing address

2075 Lakefront Dr Apt 1802
Huntsville, AL 35824-1421
Phone (256) 655-0950

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17489ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Alabama, LLC Past Accepting new patients
Publix Alabama LLC Past Accepting new patients

Organizations & group practices 2

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1184050775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 LAKEFRONT DR APT 1802",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358241421",
            "telephone_number": "256-655-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 WHITESBURG DR SE",
            "address_2": "STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021626",
            "telephone_number": "256-650-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "HOLLY",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.