Active NPI
Edward Defield Gibson III, RPH
- Pharmacist
- Cape Coral, FL
National Provider Identifier
1972841039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS25813
- Practice address
- 127 Cape Coral Pkwy W
Cape Coral, FL 33914-8353 - Phone
- (239) 540-2182
- Fax
- (239) 540-2583
- NPI assigned
- Jan 24, 2013
- Sex
- Male
- Sole proprietor
- No
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 | PS25813 | FL | Primary |
Addresses
Primary practice location
127 Cape Coral Pkwy W
Cape Coral, FL 33914-8353
Mailing address
8401 S Tamiami TRL
Sarasota, FL 34238-2927
Phone (947) 925-3377
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 |
|---|---|---|---|
| PS25813 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1972841039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342382927",
"telephone_number": "947-925-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CAPE CORAL PKWY W",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339148353",
"telephone_number": "239-540-2182",
"fax_number": "239-540-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "EDWARD",
"middle_name": "DEFIELD",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-24",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS25813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.