Active NPI
Long & Gibson Pharmacy
- Community/Retail Pharmacy
- Dyersburg, TN
National Provider Identifier
1487793097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 343
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.