Gibson General Hospital Pharmacy

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

1165 Issued in TN

Legal business name

GIBSON GENERAL HOSPITAL PHARMACY

Practice address

200 Hospital Dr
Trenton, TN 38382-3322

Phone

(731) 855-7947

Fax

(731) 855-7926

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By 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

Mr. Charles Lee Haynes, PHARMACIST

Title

Pharmacy Manager

Phone

(731) 855-7947

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386787919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383823322",
            "telephone_number": "731-855-7947",
            "fax_number": "731-855-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383823322",
            "telephone_number": "731-855-7947",
            "fax_number": "731-855-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON GENERAL HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "731-855-7947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TN",
            "license": "1165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "1165",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha French, FNP
• April Nicole Garey, OTD, OTR/L
• Tiffany Gertsch, LPN 2
• Gibson Co. Health Dept.
• Gibson Family Medical Center, PLLC
• Shirley Carol Gilbert, CPHT
• Shelby Gooch
• Katie Goodson, PHARMD
• Wanda Graupman, NP-C
• Caleb Gray, DDS

• Institutional Pharmacy in Trenton, TN
• Providers in Trenton, TN by specialty
• Institutional Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.