Robert Lillie Gibson III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10500 Issued in GA

Practice address

300 East Hospital Road
Fort Eisenhower, GA 30905

Phone

(706) 787-8033

NPI assigned

Nov 26, 2012

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1184968521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308240282",
            "telephone_number": "706-595-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST HOSPITAL ROAD",
            "city": "FORT EISENHOWER",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Beechwood Dr",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308241869",
            "country_code": "US",
            "telephone_number": "706-595-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ROBERT",
        "middle_name": "LILLIE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "10500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Finley, RD, LD, CSO
• Victoria Anne Franz, FNP
• Thomas Franklin Freeman, M.D.
• Meredith Valentine Frost, MD
• Morgan Gentry
• Jamie Alane Goulet, MS, OTR/L
• Nidhi K. Gulati, MD
• Ashlee Gunby
• Andrea Michelle Hall, NP
• Monica Ann Hancock, PT

• Pharmacist in Fort Eisenhower, GA
• Providers in Fort Eisenhower, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.