Individual provider Active NPI

Aaron Gibson, PHARM.D., M.S.

  • Pharmacist
  • Andrews, TX
National Provider Identifier
1194126243
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42647 Issued in TX
Practice address
813 Hospital Dr
Andrews, TX 79714-3618
Phone
(432) 523-4861
Fax
(432) 524-4418
NPI assigned
Sep 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42647 TX Primary

Addresses

Primary practice location

813 Hospital Dr
Andrews, TX 79714-3618

Mailing address

813 Hospital Dr
Andrews, TX 79714-3618
Phone (432) 523-4861

Other identifiers 1

IdentifierTypeStateIssuer
146428MedicaidTX

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
Master of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
42647TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1194126243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143618",
            "telephone_number": "432-523-4861",
            "fax_number": "432-524-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143618",
            "telephone_number": "432-523-4861",
            "fax_number": "432-524-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "AARON",
        "credential": "PHARM.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.