Active NPI
Jean-Marie Gibson
- Pharmacist
- San Antonio, TX
National Provider Identifier
1275992539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54021
- Practice address
- 11658 N Ih 35
San Antonio, TX 78233-5305 - Phone
- (210) 683-7337
- NPI assigned
- Feb 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54021 | TX | Primary |
Addresses
Primary practice location
11658 N Ih 35
San Antonio, TX 78233-5305
Mailing address
11658 N Ih 35
San Antonio, TX 78233-5305
Phone (210) 683-7337
Other names 1
- Dr. Jean-Marie Medina
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54021 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1275992539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11658 N IH 35",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782335305",
"telephone_number": "210-683-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11658 N IH 35",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782335305",
"telephone_number": "210-683-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JEAN-MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN-MARIE",
"last_name": "MEDINA",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.