Organization Active NPI

Gibson Apothecary, LLC

  • Community/Retail Pharmacy
  • Midland, TX
National Provider Identifier
1891400990
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jun 28, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.