Gibson Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05040 Issued in TX

Legal business name

GIBSON PHARMACY

Practice address

2505 S Carrier Pkwy
Grand Prairie, TX 75052-5017

Phone

(972) 264-0268

Fax

(972) 262-1750

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Gary RayNPI 1497915433

Title

Pharmacist

Phone

(972) 264-0268

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Wendell Ray, R. PH.

  • Compounding Pharmacy
  • Grand Prairie, TX
  • NPI 1497915433
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1366536583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525017",
            "telephone_number": "972-264-0268",
            "fax_number": "972-262-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525017",
            "telephone_number": "972-264-0268",
            "fax_number": "972-262-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "972-264-0268"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05040",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141836",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gertrude Dialysis, LLC
• Sonya Lavette Geter, MT
• Jasmin Ghasemloian, DO
• Lance Gholston
• Tracey Gibbs, PTA
• Patrick Robert Gibson, LPC, LMFT
• Karen Christina Giddings
• Gilgal Enterprise LLC
• Avneet Gill, MD
• Veronica Gillet, MA, BCBA, LBA

• Community/Retail Pharmacy in Grand Prairie, TX
• Providers in Grand Prairie, 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 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.