Individual provider Active NPI

Joel Thomas Bibby, PHARMD

  • Pharmacist
  • China Grove, NC
National Provider Identifier
1467977348
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27271 Issued in NC
Practice address
508 Highway 29 N
China Grove, NC 28023
Phone
(704) 857-0116
NPI assigned
Aug 11, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27271 NC Primary

Addresses

Primary practice location

508 Highway 29 N
China Grove, NC 28023

Mailing address

8464 Mossy Cup TRL
Harrisburg, NC 28075-5627
Phone (503) 752-3484

Other practice location 1

14120 Statesville Rd
Huntersville, NC 28078-8933
Phone (704) 875-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
27271NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467977348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8464 MOSSY CUP TRL",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280755627",
            "telephone_number": "503-752-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HIGHWAY 29 N",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "28023",
            "telephone_number": "704-857-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14120 Statesville Rd",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280788933",
            "country_code": "US",
            "telephone_number": "704-875-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIBBY",
        "first_name": "JOEL",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in China Grove, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.