Active NPI
Gibson Apothecary, LLC
- Community/Retail Pharmacy
- Midland, TX
National Provider Identifier
1891400990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GIBSON APOTHECARY, LLC
- Doing business as
- ALVA Pharmacy
- Practice address
- 5212 Sinclair Ave
Midland, TX 79707-6301 - Phone
- (432) 695-4950
- Fax
- (432) 355-5080
- NPI assigned
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aaron Paul Gibson, PHARM.D., M.S.
- Title
- Manager
- Phone
- (432) 296-2170
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
5212 Sinclair Ave
Midland, TX 79707-6301
Mailing address
813 Hospital Dr
Andrews, TX 79714-3618
Phone (432) 523-4861
Other names 1
- ALVA Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250328000222 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143743328 | Practice locations: Midland, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Alva Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Midland, TX
- NPI 1952093999
Locations
5212 Sinclair Ave
Midland, TX 79707
Phone (432) 689-9898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1891400990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 HOSPITAL DR",
"city": "ANDREWS",
"state": "TX",
"postal_code": "797143618",
"telephone_number": "432-523-4861",
"fax_number": "432-524-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5212 SINCLAIR AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797076301",
"telephone_number": "432-695-4950",
"fax_number": "432-355-5080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBSON APOTHECARY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "432-296-2170",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D., M.S."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALVA Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ALVA Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.