NPIMap

Organization Active NPI

Gibson's Pharmacy of Jonesboro, Inc.

  • Pharmacist
  • Jonesboro, AR
National Provider Identifier
1912114695
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AR0412798 Issued in AR
Legal business name
GIBSON'S PHARMACY OF JONESBORO, INC.
Practice address
403 E Matthews Ave
Jonesboro, AR 72401-3142
Phone
(870) 972-9125
Fax
(870) 972-1624
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Ron Gibson, P.D.
Title
President
Phone
(870) 972-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X AR0412798 AR Primary

Addresses

Primary practice location

403 E Matthews Ave
Jonesboro, AR 72401-3142

Mailing address

403 E Matthews Ave
Jonesboro, AR 72401-3142
Phone (870) 972-9125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912114695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013142",
            "telephone_number": "870-972-9125",
            "fax_number": "870-972-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013142",
            "telephone_number": "870-972-9125",
            "fax_number": "870-972-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON'S PHARMACY OF JONESBORO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-972-9125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR0412798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.