Gibson Matimbire, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S025498 Issued in AZ

Practice address

6611 W Bell Rd
Glendale, AZ 85308-3607

Phone

(623) 334-2940

NPI assigned

Oct 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Smiths Food & Drug Centers Inc

  dba Frys Food and Drug

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1366484982
  NPD (past)
• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1619639044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9316 W PALMER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083607",
            "telephone_number": "623-334-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIMBIRE",
        "first_name": "GIBSON",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Mathews, PT, DPT
• Alyssa Mathis
• Brittany Mathis
• Tigger R Mathis, MSN,APN,FNP
• Matilda Family Medicine
• Lisa Mattei, LPN
• Matthew D Skinner, MD, P.C.
• Rafed Matti, D.D.S.
• Lara Mattingly
• Sommer Mattingly, FNP-C

• Pharmacist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.