Organization Active NPI

W R B Enterprises Inc

Doing business as Gibsons Discount Pharmacy

  • Community/Retail Pharmacy
  • Mayfield, KY
National Provider Identifier
1861599607
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01629 Issued in KY
Legal business name
W R B ENTERPRISES INC
Doing business as
Gibsons Discount Pharmacy
Practice address
715 E Broadway
Mayfield, KY 42066-2439
Phone
(270) 247-7300
Fax
(270) 247-6945
NPI assigned
Sep 20, 2006
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
William Brown, RPH
Title
Owner/Member
Phone
(270) 247-7300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P01629 KY Primary

Addresses

Primary practice location

715 E Broadway
Mayfield, KY 42066-2439

Mailing address

PO Box 986
Mayfield, KY 42066-0040
Phone (270) 247-7300

Other identifiers 2

IdentifierTypeStateIssuer
2030364OtherPK
54018759MedicaidKY

Other names 1

  • GIBSONS DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

715 E Broadway
Mayfield, KY 42066
Phone (270) 247-7300

715 E Broadway
#986
Mayfield, KY 42066

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1861599607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420660040",
            "telephone_number": "270-247-7300",
            "fax_number": "270-247-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E BROADWAY",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662439",
            "telephone_number": "270-247-7300",
            "fax_number": "270-247-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W R B ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "270-247-7300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P01629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030364",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54018759",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIBSONS DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.