Individual provider Active NPI

Jeffrey Lee Gilbert, PHARMD

  • Pharmacist
  • Kingsport, TN
National Provider Identifier
1710369558
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45034 Issued in TN
Practice address
2200 Memorial Blvd
Kingsport, TN 37664-3385
Phone
(423) 246-0234
Fax
(423) 246-0148
NPI assigned
Jun 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202213992 VA
Pharmacist 183500000X 45034 TN Primary

Addresses

Primary practice location

2200 Memorial Blvd
Kingsport, TN 37664-3385

Mailing address

597 Donald C Moore Dr
Lebanon, VA 24266-4847
Phone (276) 312-9511

Other practice location 1

150 N 11th St
Wytheville, VA 24382-2029
Phone (276) 228-0637

Other names 1

  • Dr. Jeff Lee Gilbert Other name

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
45034TNMDPharmacist
0202213992VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jan 22, 2023 Accepting new patients
Walgreen Co PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 2

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": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1710369558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 DONALD C MOORE DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664847",
            "telephone_number": "276-312-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MEMORIAL BLVD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643385",
            "telephone_number": "423-246-0234",
            "fax_number": "423-246-0148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243822029",
            "country_code": "US",
            "telephone_number": "276-228-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-28",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213992",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "45034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "GILBERT",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2023; 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.