Active NPI
Charmaine Gibson, PHARM. D.
- Pharmacist
- Lancaster, TX
National Provider Identifier
1558690438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44182
- Practice address
- 1507 W Pleasant Run Rd
Lancaster, TX 75146-1213 - Phone
- (972) 218-6446
- Fax
- (972) 218-6893
- NPI assigned
- Dec 23, 2009
- Last updated
- Dec 23, 2009
- Sex
- Female
- 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 | 44182 | TX | Primary |
Addresses
Primary practice location
1507 W Pleasant Run Rd
Lancaster, TX 75146-1213
Mailing address
1507 W Pleasant Run Rd
Lancaster, TX 75146-1213
Phone (972) 218-6446
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44182 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1558690438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 W PLEASANT RUN RD",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461213",
"telephone_number": "972-218-6446",
"fax_number": "972-218-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 W PLEASANT RUN RD",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461213",
"telephone_number": "972-218-6446",
"fax_number": "972-218-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "CHARMAINE",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, TX
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- God Healer of Hearts Counseling Center Professional Corporation
- Jon R Gonzalez, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.