Active NPI
William Gibson
- Pharmacotherapy Pharmacist
- Wenatchee, WA
National Provider Identifier
1518388776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH60297960
- Practice address
- 1201 S Miller St
Wenatchee, WA 98801-3201 - Phone
- (509) 662-1511
- NPI assigned
- Dec 13, 2013
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH60297960 | WA | Primary |
Addresses
Primary practice location
1201 S Miller St
Wenatchee, WA 98801-3201
Mailing address
1101 Monroe St
Wenatchee, WA 98801-3607
Phone (734) 787-7947
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60297960 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1518388776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MONROE ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013607",
"telephone_number": "734-787-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MILLER ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013201",
"telephone_number": "509-662-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-13",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH60297960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.