Active NPI
Michael Gene Gilbow, R.PH.
- Pharmacist
- Drew, MS
National Provider Identifier
1861407587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 01753
- Practice address
- 103 N Main St
Drew, MS 38737-3406 - Phone
- (662) 745-2966
- Fax
- (662) 745-8919
- NPI assigned
- Jul 30, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 | 01753 | MS | Primary |
Addresses
Primary practice location
103 N Main St
Drew, MS 38737-3406
Mailing address
103 N Main St
Drew, MS 38737-3406
Phone (662) 745-2966
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0203-6329 | Medicaid | MS | |
| 2515180 | Other | MS | NCPDP |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01753 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861407587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N MAIN ST",
"city": "DREW",
"state": "MS",
"postal_code": "387373406",
"telephone_number": "662-745-2966",
"fax_number": "662-745-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N MAIN ST",
"city": "DREW",
"state": "MS",
"postal_code": "387373406",
"telephone_number": "662-745-2966",
"fax_number": "662-745-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBOW",
"first_name": "MICHAEL",
"middle_name": "GENE",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "01753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0203-6329",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2515180",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Drew, MS
- C&K Adult Recreational and Homecare Services
- Carol's Hospice & Palliative Services of Shelby, Mississippi, Inc.
- Delta Health Center, Inc (DHC-a W James Elementary School)
- Drew School District
- Faith&Hope Adult Daycare and Speciality Services
- Gough's Family and Pediatric Clinic
- Grenada North Delta Hospice & Palliative Services, LLC
- Harmony Adult Day Services
- Antwanette Lakeisha Keys, MSN, APRN, FNP-C
- Making Moves in the Community, Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.