Gibson Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02523 Issued in TX

Legal business name

GIBSON PHARMACY, LLC

Doing business as

Anderson's Gibson Pharmacy
Gibson Prescription Pharmacy

Practice address

600 S Palestine St
Suite 100
Athens, TX 75751-3310

Phone

(903) 675-7069

Fax

(903) 677-9459

NPI assigned

May 12, 2006

Last updated

Dec 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Anderson-Kocain, PHARMD

Title

Member

Phone

(903) 675-7069

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 2

• Anderson's Gibson Pharmacy Doing business as
• GIBSON PRESCRIPTION PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

Tax ID family

Anderson's Gibson Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gibson Pharmacy, LLC

  dba Anderson's Gibson Pharmacy

  • Long Term Care Pharmacy
  • Athens, TX
  • NPI 1821578865
  NPD tax ID

Locations

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.

• Lisa Anderson Kocian, PHARMD, CDE

  • Pharmacist
  • Athens, TX
  • NPI 1669428843
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1295786432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PALESTINE ST STE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513323",
            "telephone_number": "903-675-7069",
            "fax_number": "903-677-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PALESTINE ST",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513310",
            "telephone_number": "903-675-7069",
            "fax_number": "903-677-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-KOCAIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "903-675-7069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "02523",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "02523",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "02523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142443",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson's Gibson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GIBSON PRESCRIPTION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Crystal Garcia-Balok, O.D.
• Ruben Luis Garcia Jr., M.D.
• Melissa Ann Garrett, RN, FNP-C
• Kirk F Gautier, PAC
• Renessa Leigh Gerhardt, MD
• Gibson Pharmacy, LLC (Anderson's Gibson Pharmacy)
• Tyler Ann Gipson, PHARMD
• Glory Kendi Gituma, CRNA
• Heather Goggans, MA, CRC, LPC
• Kristi Shawn Gore-Stewart, FNP-C

• Community/Retail Pharmacy in Athens, TX
• Providers in Athens, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.