Individual provider Active NPI

Stephen Gibson, PHARM.D

  • Psychiatric Pharmacist
  • Concord, NH
National Provider Identifier
1649793902
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
4150970 Issued in NH
Practice address
117 Manchester St Ste 5a
Concord, NH 03301-5101
Phone
(603) 606-9357
Fax
(603) 217-2075
NPI assigned
Jul 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 4150970 NH Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 4150970 NH
Pharmacist 183500000X 4196 NH

Addresses

Primary practice location

117 Manchester St Ste 5a
Concord, NH 03301-5101

Mailing address

117 Manchester St Ste 5a
Concord, NH 03301-5101
Phone (603) 606-9357

Other practice location 1

260 Western Ave Ste 207
South Portland, ME 04106-2457
Phone (603) 606-9357

Other practice location 2

9 Vose Farm Rd Ste 100
Peterborough, NH 03458-2154
Phone (603) 606-9357

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

LicenseStateTypeSpecialty
4196NHMDPharmacist
4150970NHMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Collaborative Care LLC Psychiatric CurrentSince Feb 4, 2024 Accepting new patients
Rite Aid of New Hampshire Inc Past Accepting new patients
Rite Aid of New Hampshire Inc Past Accepting new patients

Locations

260 Western Ave
Ste 207
South Portland, ME 04106
Phone (603) 606-9357

9 Vose Farm Rd
Ste 100
Peterborough, NH 03458
Phone (603) 312-1600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1649793902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MANCHESTER ST STE 5A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015101",
            "telephone_number": "603-606-9357",
            "fax_number": "603-217-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MANCHESTER ST STE 5A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015101",
            "telephone_number": "603-606-9357",
            "fax_number": "603-217-2075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Western Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062457",
            "country_code": "US",
            "telephone_number": "603-606-9357",
            "fax_number": "603-217-2075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Vose Farm Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Peterborough",
            "state": "NH",
            "postal_code": "034582154",
            "country_code": "US",
            "telephone_number": "603-606-9357",
            "fax_number": "603-217-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "NH",
            "license": "4150970",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NH",
            "license": "4150970",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "4196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.