Active NPI
Marc Gibbens, P.D.
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1538441654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14051
- Practice address
- 3384 Government St
Baton Rouge, LA 70806-5628 - Phone
- (225) 387-5600
- Fax
- (225) 387-5628
- NPI assigned
- Sep 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 14051 | LA | Primary |
Addresses
Primary practice location
3384 Government St
Baton Rouge, LA 70806-5628
Mailing address
3128 Tradition Ave
Baton Rouge, LA 70810-0339
Phone (225) 769-0890
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 |
|---|---|---|---|
| 14051 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1538441654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3128 TRADITION AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100339",
"telephone_number": "225-769-0890",
"fax_number": "225-757-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3384 GOVERNMENT ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708065628",
"telephone_number": "225-387-5600",
"fax_number": "225-387-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBENS",
"first_name": "MARC",
"credential": "P.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.