Active NPI
Zae Garrott Gibson, PHARMD
- Pharmacist
- New Braunfels, TX
National Provider Identifier
1811591076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62917
- Practice address
- 210 N Business Ih 35
New Braunfels, TX 78130-7857 - Phone
- (830) 629-5096
- Fax
- (830) 629-6097
- NPI assigned
- Nov 27, 2020
- 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 | 62917 | TX | Primary |
Addresses
Primary practice location
210 N Business Ih 35
New Braunfels, TX 78130-7857
Mailing address
210 N Business Ih 35
New Braunfels, TX 78130-7857
Phone (830) 629-5096
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 |
|---|---|---|---|
| 62917 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | 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": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1811591076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N BUSINESS IH 35",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781307857",
"telephone_number": "830-629-5096",
"fax_number": "830-629-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N BUSINESS IH 35",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781307857",
"telephone_number": "830-629-5096",
"fax_number": "830-629-6097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ZAE",
"middle_name": "GARROTT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-27",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.