Kathleen Marie Gibson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01640200 Issued in NJ

Practice address

100 S Black Horse Pike
Williamstown, NJ 08094-1560

Phone

(856) 728-7474

Fax

(856) 728-1234

NPI assigned

Dec 9, 2020

Sex

Female

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

Registered Pharmacist

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 and National Provider Directory roles.

• Berat Corporation

  • Pharmacy
  • Williamstown, NJ
  • NPI 1679688451
  NPD (past)
• Berat Corporation

  • Community/Retail Pharmacy
  • West Berlin, NJ
  • NPI 1689717605
  NPD (past)

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1750987293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 QUAIL HOLLOW DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803050",
            "telephone_number": "856-332-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941560",
            "telephone_number": "856-728-7474",
            "fax_number": "856-728-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01640200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Garcia Sosa
• Andrea M. Garcia, M.D.
• Gardenview Opco LLC
• Gardenview Opco LLC
• Malgorzata Gegala
• Linda S Goggin, MD
• Richard F Golden, DO
• Samir Goodman, NP
• Talia Gottlieb, DMD
• Kelly Jo Gramm, APN

• All providers in Williamstown, NJ
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.