Individual provider Active NPI

William Chad Gibbons, RPH

  • Pharmacist
  • Turbeville, SC
National Provider Identifier
1205969227
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8827 Issued in SC
Practice address
942 Smith St
Turbeville, SC 29162-8983
Phone
(803) 983-6901
Fax
(843) 659-3668
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8827 SC Primary

Addresses

Primary practice location

942 Smith St
Turbeville, SC 29162-8983

Mailing address

PO Box 414
Turbeville, SC 29162-0414
Phone (803) 983-6901

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
8827SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sumter Medical Supplies Inc Current Accepting new patients
Sumter Cut Rate Drug Store, LLC Current Accepting new patients
Gibbons Drug Company Inc CurrentSince Mar 12, 2024 Accepting new patients
JJ Bre Inc PastSince Mar 12, 2024 Accepting new patients
Sumter Cut Rate Drugstore II Inc Past Accepting new patients

Locations

32 S Main St
Sumter, SC 29150
Phone (803) 773-8432

Organizations & group practices 5

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1205969227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "291620414",
            "telephone_number": "803-983-6901",
            "fax_number": "843-659-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 SMITH ST",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "291628983",
            "telephone_number": "803-983-6901",
            "fax_number": "843-659-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "WILLIAM",
        "middle_name": "CHAD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "8827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turbeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.