Organization Active NPI

Long & Gibson Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
National Provider Identifier
1487793097
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
343 Issued in TN
Legal business name
LONG & GIBSON PHARMACY
Practice address
303 East Tickle Street
Dyersburg, TN 38024-3117
Phone
(731) 285-1711
Fax
(731) 285-2203
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Mr. John R Gibson
Title
Pharmacist
Phone
(731) 285-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 343 TN Primary

Addresses

Primary practice location

303 East Tickle Street
Dyersburg, TN 38024-3117

Mailing address

303 East Tickle Street
Dyersburg, TN 38024-3117
Phone (731) 285-1711

National Provider Directory

National Provider Directory

Locations

303 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-1711

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1487793097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 EAST TICKLE STREET",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243117",
            "telephone_number": "731-285-1711",
            "fax_number": "731-285-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 EAST TICKLE STREET",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243117",
            "telephone_number": "731-285-1711",
            "fax_number": "731-285-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG & GIBSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-03-26",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "731-285-1711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.