Active NPI
Jennifer Williams Gibson, PHARMD
- Pharmacist
- Spartanburg, SC
National Provider Identifier
1619295235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10680
- Practice address
- 2306 Chesnee Hwy Ste 1
Spartanburg, SC 29303-5507 - Phone
- (864) 577-0087
- Fax
- (864) 577-0599
- NPI assigned
- May 6, 2010
- Last updated
- Aug 14, 2014
- Sex
- Female
- 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 | 10680 | SC | Primary |
Addresses
Primary practice location
2306 Chesnee Hwy Ste 1
Spartanburg, SC 29303-5507
Mailing address
2306 Chesnee Hwy Ste 1
Spartanburg, SC 29303-5507
Phone (864) 577-0087
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 |
|---|---|---|---|
| 10680 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1619295235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 CHESNEE HWY STE 1",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293035507",
"telephone_number": "864-577-0087",
"fax_number": "864-577-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 CHESNEE HWY STE 1",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293035507",
"telephone_number": "864-577-0087",
"fax_number": "864-577-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JENNIFER",
"middle_name": "WILLIAMS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.