JEREMY GIBSON (NPI# 1124494166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124494166 |
| Entity Type | Individual |
| Full Name | JEREMY GIBSON |
| Practice Address |
1606 Highland Colony Pkwy Madison MS 39110-6917 |
| Mailing Address |
150 Park Circle Dr Apt B19 Flowood MS 39232-7631 |
| Practice Telephone | 6016055928 |
| Mailing Telephone | 2282389478 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-13947 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821265430 | Jeremy Leighton Gibson | Student in an Organized Health Care Education/Training Program | 2801 N Gantenbein Suite 4239, Legacy Emanuel Hospital & Health Center, Portland, OR 97227 | 2008-05-13 |
| 1972057842 | Jeremy Gibson | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2016-08-09 |
| 1003876798 | Jeremy L. Gibson | Pediatrics | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-25 |
| 1912987504 | Jeremy Brendon Gibson | Pathology | 1650 4th St Se, Rochester, MN 55904-4717 | 2006-01-19 |
| Street Address |
1606 HIGHLAND COLONY PKWY |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477993236 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1606 Highland Colony Pkwy, Madison, MS 39110-6917 | 2013-06-26 |
| 1477096246 | Sejalben P Patel | Pharmacist | 1606 Highland Colony Pkwy, Madison, MS 39110-6917 | 2016-11-28 |
| 1043686264 | Haley Schexnayder Latour | Pharmacist | 1606 Highland Colony Pkwy, Madison, MS 39110-6917 | 2015-08-12 |
| 1851775126 | Amanda Hendricks | Pharmacist | 1606 Highland Colony Pkwy, Madison, MS 39110-6917 | 2015-07-16 |
| 1801281134 | Tricia Banks | Pharmacist | 1606 Highland Colony Pkwy, Madison, MS 39110-6917 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840956 | Candi Ashton | Pharmacist | 6011 N Rector Rd, Madison, IN 47250-7624 | 2020-11-01 |
| 1154931038 | Alyson Giragosian | Pharmacist | 4818 Kingsford Way, Madison, WI 53704-6498 | 2020-08-05 |
| 1801415641 | Genesee Fernandez | Pharmacist | 170 Sagebrook Dr, Madison, AL 35757-7684 | 2020-04-12 |
| 1417583568 | Kimberly Maerz | Pharmacist | 6701 Mineral Point Rd, Madison, WI 53705-4241 | 2020-03-20 |
| 1942845896 | Nikita Jain | Pharmacist | 857 Durham Rd, Madison, CT 06443-1827 | 2019-11-14 |
| 1437704939 | Morgan A Wynes | Pharmacist | 600 Highland Ave # F6160, Madison, WI 53792-0001 | 2019-08-02 |
| 1467005322 | Elisa Rowland | Pharmacist | 12070 County Line Rd Ste C, Madison, AL 35756-2000 | 2019-07-19 |
| 1669034849 | Jessica Chmielinski | Pharmacist | 2500 Overlook Ter Dept 119, Madison, WI 53705-2254 | 2019-07-08 |
| 1265903702 | Steven Michael Dixon | Pharmacist | 41 Chestnut Hill Rd, Madison, CT 06443-1816 | 2018-12-10 |
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.