Organization Active NPI

Gibson Sales LP

  • Community/Retail Pharmacy
  • Denton, TX
National Provider Identifier
1447201397
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22535 Issued in TX
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

Updated by the provider on Nov 23, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
144272MedicaidTX

Other names 1

  • Drug Emporium 101 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.