Active NPI
Gibsons Pharmacy of Craighead County Inc
Doing business as Gibson's Pharmacy of Jonesboro
- Pharmacy
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- AR20624
- Legal business name
- GIBSONS PHARMACY OF CRAIGHEAD COUNTY INC
- Doing business as
- Gibson's Pharmacy of Jonesboro
- Practice address
- 403 E Matthews Ave
Jonesboro, AR 72401-3142 - Phone
- (870) 972-1333
- Fax
- (870) 972-1624
- NPI assigned
- Jan 19, 2010
- Last updated
- Oct 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian P Oholendt, PHARMD
- Title
- President/Pic
- Phone
- (870) 972-9125
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | AR20624 | AR | Primary |
Addresses
Primary practice location
403 E Matthews Ave
Jonesboro, AR 72401-3142
Mailing address
403 E Matthews Ave
Jonesboro, AR 72401-3142
Phone (870) 972-9125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123107 | Other | PK |
Other names 1
- Gibson's Pharmacy of Jonesboro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930072019 | AR | DME Supplier - Pharmacy | 0345430005 | Practice locations: Jonesboro, AR |
| O20101215000180 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 0345430005 | Practice locations: Jonesboro, AR |
National Provider Directory
National Provider DirectoryLocations
403 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 972-1333
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.
-
- Pharmacist
- Jonesboro, AR
- NPI 1407171481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761609600000",
"number": "1346571106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013142",
"telephone_number": "870-972-9125",
"fax_number": "870-972-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013142",
"telephone_number": "870-972-1333",
"fax_number": "870-972-1624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBSONS PHARMACY OF CRAIGHEAD COUNTY INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A",
"authorized_official_last_name": "OHOLENDT",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/PIC",
"authorized_official_telephone_number": "870-972-9125",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "AR20624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2123107",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gibson's Pharmacy of Jonesboro",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.