Active NPI
Matthew Wayne Gibbs, R.PH.
- Pharmacist
- Austin, TX
National Provider Identifier
1497262836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30470
- Practice address
- 1301 W 38TH St Ste 403
Austin, TX 78705-1013 - Phone
- (512) 459-0639
- Fax
- (512) 459-3319
- NPI assigned
- Jan 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30470 | TX | Primary |
Addresses
Primary practice location
1301 W 38TH St Ste 403
Austin, TX 78705-1013
Mailing address
7004 Whispering Creek Dr
Austin, TX 78736-1935
Phone (512) 484-4915
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30470 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1497262836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7004 WHISPERING CREEK DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787361935",
"telephone_number": "512-484-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 38TH ST STE 403",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051013",
"telephone_number": "512-459-0639",
"fax_number": "512-459-3319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "MATTHEW",
"middle_name": "WAYNE",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "30470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.