Individual provider Active NPI

Jonathan Gibney, PHARM.D.

  • Pharmacist
  • Rehoboth Beach, DE
National Provider Identifier
1669745378
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0003728 Issued in DE
Practice address
18993 Munchy Branch Rd
Rehoboth Beach, DE 19971-8762
Phone
(302) 226-0220
NPI assigned
Feb 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0003728 DE Primary

Addresses

Primary practice location

18993 Munchy Branch Rd
Rehoboth Beach, DE 19971-8762

Mailing address

5701 Centre Ave Apt 1503
Pittsburgh, PA 15206-3749

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
A1-0003728DEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1669745378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE APT 1503",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18993 MUNCHY BRANCH RD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199718762",
            "telephone_number": "302-226-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBNEY",
        "first_name": "JONATHAN",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.