Individual provider Active NPI

Gavin Gibbons

  • Pharmacist
  • Florence, SC
National Provider Identifier
1255219853
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60760 Issued in SC
Practice address
501 E Cheves St Ste D
Florence, SC 29506-2617
Phone
(843) 777-2166
NPI assigned
Aug 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60760 SC Primary

Addresses

Primary practice location

501 E Cheves St Ste D
Florence, SC 29506-2617

Mailing address

2864 Old Manning Rd
Turbeville, SC 29162-9223

Other practice location 1

942 Smith St
Turbeville, SC 29162-8983
Phone (843) 659-2204

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

State licenses

LicenseStateTypeSpecialty
60760SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 25, 2025 Accepting new patients
Gibbons Drug Company Inc CurrentSince Jul 31, 2023 Accepting new patients
JJ Bre Inc Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc PastSince Aug 25, 2025 Accepting new patients

Locations

501 E Cheves St
Ste D
Florence, SC 29506
Phone (843) 777-2166

Organizations & group practices 4

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": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1255219853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 OLD MANNING RD",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "291629223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E CHEVES ST STE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062617",
            "telephone_number": "843-777-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "942 Smith St",
            "address_purpose": "LOCATION",
            "city": "Turbeville",
            "state": "SC",
            "postal_code": "291628983",
            "country_code": "US",
            "telephone_number": "843-659-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "GAVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.