Active NPI
Gibson Sales LP
- Community/Retail Pharmacy
- Denton, TX
National Provider Identifier
1447201397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 22535
- Legal business name
- GIBSON SALES LP
- Practice address
- 824 W University Dr
Denton, TX 76201-1846 - Phone
- (940) 387-1290
- Fax
- (903) 297-2895
- NPI assigned
- May 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Magliolo, RPH
- Title
- Director of Pharmacy
- Phone
- (903) 297-0766
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 22535 | TX | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
824 W University Dr
Denton, TX 76201-1846
Mailing address
PO Box 6238
Longview, TX 75608-6238
Phone (903) 297-0766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144272 | Medicaid | TX |
Other names 1
- Drug Emporium 101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140605000795 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5890919245 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Waco, TX; Tyler, TX; Lubbock, TX; Amarillo, TX; Abilene, TX; Longview, TX |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
824 W University Dr
Denton, TX 76201
Phone (940) 387-1290
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Denton, TX
- NPI 1588727424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606089600000",
"number": "1447201397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6238",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756086238",
"telephone_number": "903-297-0766",
"fax_number": "903-297-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 W UNIVERSITY DR",
"city": "DENTON",
"state": "TX",
"postal_code": "762011846",
"telephone_number": "940-387-1290",
"fax_number": "903-297-2895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBSON SALES LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A",
"authorized_official_last_name": "MAGLIOLO",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "903-297-0766",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "22535",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144272",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Drug Emporium 101",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.