Individual provider Active NPI

Angel K Finney, PHARMD

  • Pharmacist
  • Byram, MS
National Provider Identifier
1407468978
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-15412 Issued in MS
Practice address
131 Handley Blvd
Byram, MS 39272-8983
Phone
(769) 237-4326
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-15412 MS Primary

Addresses

Primary practice location

131 Handley Blvd
Byram, MS 39272-8983

Mailing address

131 Handley Blvd
Byram, MS 39272-8983
Phone (769) 237-4326

Other practice location 1

977 Ellis Ave
Jackson, MS 39209-6256
Phone (601) 944-9965

Other practice location 2

204 Highway 80 E
Clinton, MS 39056-4716
Phone (601) 926-1179

Other names 1

  • Dr. Angel K Gibson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-15412MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Oct 13, 2024 Accepting new patients
Walgreen Co PastSince Aug 1, 2020 Accepting new patients
Walgreen Co PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1407468978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HANDLEY BLVD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728983",
            "telephone_number": "769-237-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HANDLEY BLVD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728983",
            "telephone_number": "769-237-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "977 Ellis Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392096256",
            "country_code": "US",
            "telephone_number": "601-944-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Highway 80 E",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564716",
            "country_code": "US",
            "telephone_number": "601-926-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINNEY",
        "first_name": "ANGEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-15412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "GIBSON",
            "middle_name": "K",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byram, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.