Organization Active NPI

Darrell L Schneider

Doing business as Gibson Pharmacy

  • Community/Retail Pharmacy
  • Marlin, TX
National Provider Identifier
1265544175
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13236 Issued in TX
Legal business name
DARRELL L SCHNEIDER
Doing business as
Gibson Pharmacy
Practice address
423 Live Oak St
Marlin, TX 76661-2367
Phone
(254) 883-2451
Fax
(254) 883-5267
NPI assigned
Aug 31, 2006
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Darrell SchneiderNPI 1073725289
Title
Owner Pharmacist in Charge
Phone
(254) 883-2451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 13236 TX Primary

Addresses

Primary practice location

423 Live Oak St
Marlin, TX 76661-2367

Mailing address

423 Live Oak St
Marlin, TX 76661-2367
Phone (254) 883-2451

Other identifiers 2

IdentifierTypeStateIssuer
2100011OtherPK
143473MedicaidTX

Other names 1

  • GIBSON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

423 Live Oak St
Marlin, TX 76661
Phone (254) 883-3541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1265544175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 LIVE OAK ST",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612367",
            "telephone_number": "254-883-2451",
            "fax_number": "254-883-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 LIVE OAK ST",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612367",
            "telephone_number": "254-883-2451",
            "fax_number": "254-883-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL L SCHNEIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "254-883-2451"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "13236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143473",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIBSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.