Active NPI
Gibbs Pharmacy Inc
Doing business as Gibbs Long Term Care
- Long Term Care Pharmacy
- Lebanon, TN
National Provider Identifier
1447724455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GIBBS PHARMACY INC
- Doing business as
- Gibbs Long Term Care
- Practice address
- 1427 W Baddour Pkwy Ste a
Lebanon, TN 37087-3062 - Phone
- (615) 449-3355
- Fax
- (615) 449-0083
- NPI assigned
- Jan 14, 2019
- 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
- Christiana Orman
- Title
- Owner
- Phone
- (615) 449-3355
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1427 W Baddour Pkwy Ste a
Lebanon, TN 37087-3062
Mailing address
1427 W Baddour Pkwy Ste B
Lebanon, TN 37087-3062
Phone (615) 449-3355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454294 | Medicaid | TN |
Other names 1
- Gibbs Long Term Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211111000749 | TN | DME Supplier - Pharmacy | 4284778309 | Practice locations: Lebanon, TN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Gibbs Pharmacy
- Community/Retail Pharmacy
- Lebanon, TN
- NPI 1518996420
4284778309
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1447724455",
"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 A",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873062",
"telephone_number": "615-449-3355",
"fax_number": "615-449-0083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBBS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-14",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "ORMAN",
"authorized_official_first_name": "CHRISTIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-449-3355"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454294",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gibbs Long Term Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 31, 2025; 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.