Organization Active NPI

WRB Enterprises Inc.

Doing business as Gibsons Pharmacy Homecare

  • Durable Medical Equipment & Medical Supplies
  • Mayfield, KY
National Provider Identifier
1457406969
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P01629 Issued in KY
Legal business name
WRB ENTERPRISES INC.
Doing business as
Gibsons Pharmacy Homecare
Practice address
715 E Broadway St
Mayfield, KY 42066-2425
Phone
(270) 247-7300
Fax
(270) 247-6945
NPI assigned
Jan 24, 2007
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Mr. William R Brown
Title
Owner
Phone
(270) 247-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P01629 KY Primary

Addresses

Primary practice location

715 E Broadway St
Mayfield, KY 42066-2425

Mailing address

PO Box 986
Mayfield, KY 42066-0040
Phone (270) 247-7300

Other identifiers 1

IdentifierTypeStateIssuer
90040429MedicaidKY

Other names 1

  • GIBSONS PHARMACY HOMECARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1457406969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420660040",
            "telephone_number": "270-247-7300",
            "fax_number": "270-247-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E BROADWAY ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662425",
            "telephone_number": "270-247-7300",
            "fax_number": "270-247-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRB ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-247-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P01629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90040429",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIBSONS PHARMACY HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.