Active NPI
Jenna A Gibson, PHARM D
- Pharmacist
- Chillicothe, MO
National Provider Identifier
1801925300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2006038099
- Practice address
- 601 Locust St
Chillicothe, MO 64601-2250 - Phone
- (660) 646-7455
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2006038099 | MO | Primary |
Addresses
Primary practice location
601 Locust St
Chillicothe, MO 64601-2250
Mailing address
3700 Serendipity LN
Trenton, MO 64683-8358
Phone (660) 359-2409
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006038099 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801925300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 SERENDIPITY LN",
"city": "TRENTON",
"state": "MO",
"postal_code": "646838358",
"telephone_number": "660-359-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 LOCUST ST",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646012250",
"telephone_number": "660-646-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JENNA",
"middle_name": "A",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2006038099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.