Organization Active NPI

Gibbs Pharmacy Clinical Services LLC

  • Family Medicine Physician
  • Lebanon, TN
National Provider Identifier
1417621392
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GIBBS PHARMACY CLINICAL SERVICES LLC
Practice address
1427 W Baddour Pkwy Ste B
Lebanon, TN 37087-3062
Phone
(615) 449-3355
Fax
(615) 449-0083
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
James Gibbs, DPH
Title
Ao
Phone
(615) 449-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1427 W Baddour Pkwy Ste B
Lebanon, TN 37087-3062

Mailing address

1427 W Baddour Pkwy Ste B
Lebanon, TN 37087-3062
Phone (615) 449-3355

National Provider Directory

National Provider Directory

Locations

1427 W Baddour Pkwy
Ste B
Lebanon, TN 37087
Phone (615) 449-3355

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1417621392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W BADDOUR PKWY STE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873062",
            "telephone_number": "615-449-3355",
            "fax_number": "615-449-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W BADDOUR PKWY STE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873062",
            "telephone_number": "615-449-3355",
            "fax_number": "615-449-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBS PHARMACY CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "615-449-3355",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.