Jacob Lee Gibbs, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

14252 Issued in SC

Practice address

201 Island Ford Rd Ste D
Maiden, NC 28650-8733

Phone

(828) 428-0668

Fax

(828) 428-3303

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Center Pharmacy of Maiden Inc

  dba TAS Drug Maiden

  • Community/Retail Pharmacy
  • Maiden, NC
  • NPI 1679633812
  NPD (past)
• Center Pharmacy of Maiden Inc.

  • Pharmacy
  • Maiden, NC
  • NPI 1710294517
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1568804458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ISLAND FORD RD STE D",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286508733",
            "telephone_number": "828-428-0668",
            "fax_number": "828-428-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ISLAND FORD RD STE D",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286508733",
            "telephone_number": "828-428-0668",
            "fax_number": "828-428-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JACOB",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23523",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "14252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaston Family Health Services, Inc (Kintegra at Maiden Elementary)
• Gaston Family Health Services, Inc (Kintegra at Tuttle Elementary)
• Gaston Family Health Services, Inc. (Catawba Valley Family Medicine - Maiden)
• Gaston Family Health Services, Inc. (Kintegra at Maiden High)
• Gaston Family Health Services, Inc. (Kintegra at Maiden Middle)
• Jean Michaelle Gilbert, RPH
• Ryan Greemann, DO
• Emily Brooke Griggs
• Guiding Light Counseling, PLLC
• Darryl L Hatchett, DDS

• Pharmacist in Maiden, NC
• Providers in Maiden, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.