Gibson's LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GIBSON'S LLC

Doing business as

Gibson's Pharmacy

Practice address

1206 Paris Rd
Mayfield, KY 42066-4989

Phone

(270) 705-4992

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By 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

Sam Brown

Title

Owner

Phone

(270) 705-4992

Specialties & licenses 1

Addresses

Other names 1

• Gibson's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1316306624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420660040",
            "telephone_number": "270-705-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 PARIS RD",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420664989",
            "telephone_number": "270-705-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-705-4992"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Jean Gann, LMT
• Kayla Michelle Garrott, APRN
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• Tanya S Goins-Harmon, APRN
• Kimberly Kaye Gooch
• Michael Gookin, BSN, RN
• Mary Graham, APRN
• Graves County Board of Education

• Pharmacy in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Pharmacy in Kentucky

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.