Jeffrey David Geibig, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26021969A Issued in IN

Practice address

314 N Ironwood Dr
Mishawaka, IN 46544-1543

Phone

(574) 254-2323

Fax

(866) 409-6492

NPI assigned

Dec 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• MSM Holdco, LLC

  • Community/Retail Pharmacy
  • Mishawaka, IN
  • NPI 1366693665
  NPD

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1235726720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N IRONWOOD DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441543",
            "telephone_number": "574-254-2323",
            "fax_number": "866-409-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N IRONWOOD DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441543",
            "telephone_number": "574-254-2323",
            "fax_number": "866-409-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIBIG",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033456",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26021969A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gast, MD
• Rosemary Gathungu, FNP
• Alexander C Gatzimos, M.D.,JD
• Erin Marie Gaul, MSW, LSW
• Crystal Geerts
• Hollie Mae Gentry, COUNCELOR
• George a Mighion DDS PC
• Johnny Lee Gerardot Jr., MD
• Adam Gregory Gerhardt
• Laura Satka Gettler, FNP

• Pharmacist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.