Organization Active NPI

Gibsons Pharmacy of Craighead County Inc

Doing business as Gibson's Pharmacy of Jonesboro

  • Pharmacy
  • Jonesboro, AR
National Provider Identifier
1346571106
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR20624 Issued in AR
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Brian P Oholendt, PHARMDNPI 1407171481
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2123107OtherPK

Other names 1

  • Gibson's Pharmacy of Jonesboro Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.