ANDREW JOHN GIBBS (NPI# 1255955449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255955449 |
Entity Type | Individual |
Full Name | ANDREW JOHN GIBBS |
Credential | PHARMD |
Practice Address |
117 N Main St Stockton IL 61085-1321 |
Mailing Address |
3012 S Golf Rd Stockton IL 61085-9365 |
Practice Telephone | 8159473411 |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-06-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 051.298522 | IL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114313319 | Andrew Gibbs | Emergency Medicine | 1 Medical Center Blvd, Cookeville, TN 38501 | 2015-04-14 |
Street Address |
117 N MAIN ST |
City | STOCKTON |
State | IL |
Zip Code | 61085-1321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154428720 | Hartig Drug Co Corp | Pharmacy | 117 N Main St, Stockton, IL 61085-1321 | 2006-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316330152 | Waverly Place of Stockton, LLC | Skilled Nursing Facility | 501 E Front Avenue, Stockton, IL 61085 | 2015-03-17 |
1033603790 | Caitlin M Pullara | Dentist | 120 W Front Ave, Stockton, IL 61085 | 2018-06-17 |
1598935504 | Carroll & Jo Davies & Stephenson Roe | Case Manager/Care Coordinator | 500 N Rush St, Stockton, IL 61085-1004 | 2008-03-05 |
1215105291 | Stockton Cusd 206 | Local Education Agency (LEA) | 500 N Rush St # M, Suite A, Stockton, IL 61085-1004 | 2008-02-13 |
1356587364 | Tracy L. Boyer | Occupational Therapist | 517 W Hilltop Ter, Stockton, IL 61085-1025 | 2008-12-22 |
1700059805 | Kreider Services, Inc | Intermediate Care Facility, Mentally Retarded | 605 N Main St, Stockton, IL 61085-1121 | 2008-04-09 |
1629257332 | Joseph Stephan Cahill | Chiropractor | 307 N Hudson St, Stockton, IL 61085-1219 | 2007-10-30 |
1710052246 | Stephen F Petras | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
1093880536 | Stockton Dental Center, Inc. | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
1730223173 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 109 N Main St, Stockton, IL 61085-1321 | 2007-02-19 |
Find all providers in zip 61085 |
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 |
---|---|---|---|---|
1295341766 | Sarah Trinh | Pharmacist | 1801 E March Ln Ste B280, Stockton, CA 95210-6653 | 2020-09-21 |
1629680566 | Karla Marina Aguirre Luna | Pharmacist | 3047 Battleview Pl, Stockton, CA 95209-1623 | 2020-08-21 |
1457973372 | David Le | Pharmacist | 9141 Sentinel Ct, Stockton, CA 95212-3211 | 2020-05-13 |
1194346163 | Nhon Tran | Pharmacist | 7232 Kelley Dr, Stockton, CA 95207-1117 | 2020-04-30 |
1316573249 | May Chen | Pharmacist | 757 Brookside Rd Phs 229, Stockton, CA 95211-0001 | 2020-03-23 |
1336787001 | Albert Diep | Pharmacist | 1832 Del Rio Dr, Stockton, CA 95204-1718 | 2019-12-12 |
1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
1609239177 | Michael Tennant | Pharmacist | 10560 Lake Point Ave, Stockton, CA 95219-7274 | 2016-04-01 |
1811352305 | Samra Liaqat | Pharmacist | 2364 Golden Bear Cir, Stockton, CA 95209-1765 | 2015-12-28 |
Find all providers in STOCKTON |
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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.