Organization Active NPI

Gibbons Pharmacies LLC

Doing business as Bartons Center Pharmacy

  • Community/Retail Pharmacy
  • Yakima, WA
National Provider Identifier
1639184286
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF00056614 Issued in WA
Legal business name
GIBBONS PHARMACIES LLC
Doing business as
Bartons Center Pharmacy
Practice address
1011 W Spruce St
Yakima, WA 98902-3332
Phone
(509) 248-6232
Fax
(509) 575-0192
NPI assigned
Jul 30, 2006
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Greg Gibbons
Title
Owner
Phone
(509) 865-2722

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHARCF00056614 WA Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1011 W Spruce St
Yakima, WA 98902-3332

Mailing address

1011 W Spruce St
Yakima, WA 98902-3332
Phone (509) 248-6232

Other identifiers 2

IdentifierTypeStateIssuer
2107632OtherPK
6023253MedicaidWA

Other names 1

  • BARTONS CENTER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000985 WA Part B Supplier - Mass Immunization (Roster Biller Only) 6709777303 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prosser, WA; Toppenish, WA; Yakima, WA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1639184286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W SPRUCE ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023332",
            "telephone_number": "509-248-6232",
            "fax_number": "509-575-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W SPRUCE ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023332",
            "telephone_number": "509-248-6232",
            "fax_number": "509-575-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBONS PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-865-2722"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF00056614",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107632",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6023253",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTONS CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BARTONS CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.