GIBSON SALES LP (NPI# 1528019148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528019148 |
| Entity Type | Organization |
| Organization Name | GIBSON SALES LP |
| Other Organization Name | DRUG EMPORIUM #210 |
| Practice Address |
5819 E Kings Hwy Shreveport LA 71105-4303 |
| Mailing Address |
Po Box 6238 Longview TX 75608-6238 |
| Practice Telephone | 3188617898 |
| Practice Fax Number | 9032972895 |
| Mailing Telephone | 9032970766 |
| Mailing Fax Number | 9032972895 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | RICHARD MAGLIOLO (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9032970766 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1963RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1264440 | 05 | |
| PK | 2032228 | 01 |
| Other Name | Type Code |
|---|---|
| Drug Emporium #210 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609827229 | Gibson Sales Lp | Pharmacy | 5109 82nd St, Lubbock, TX 79424-3028 | 2006-05-16 |
| 1629029236 | Gibson Sales Lp | Pharmacy | 2550 Barrow St, Abilene, TX 79605-6235 | 2006-05-16 |
| 1700837382 | Gibson Sales Lp | Pharmacy | 5614 S Broadway Ave, Tyler, TX 75703-4356 | 2006-05-16 |
| 1003867748 | Gibson Sales Lp | Pharmacy | 2321 W Loop 281, Longview, TX 75604-2563 | 2006-05-15 |
| 1609827559 | Gibson Sales Lp | Pharmacy | 505 Bertrand Dr, Lafayette, LA 70506-5569 | 2006-05-15 |
| 1740231521 | Gibson Sales Lp | Pharmacy | 5900 Bosque Blvd, Waco, TX 76710-4320 | 2006-05-15 |
| 1447201397 | Gibson Sales Lp | Pharmacy | 824 W University Dr, Denton, TX 76201-1846 | 2006-05-15 |
| 1023069895 | Gibson Sales Lp | Pharmacy | 4210 Sw 45th Ave Ste B, Amarillo, TX 79109-0400 | 2006-05-15 |
| 1609827302 | Gibson Sales Lp | Pharmacy | 9112 N Rodney Parham Rd, Ste 110, Little Rock, AR 72205-1648 | 2006-05-15 |
| Street Address |
5819 E KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689077430 | University Health Shreveport LLC | Pharmacy | 1606 Kings Hwy Rm 2263, Shreveport, LA 71103-4128 | 2014-10-07 |
| 1104268390 | Freds Stores of Tennessee Inc | Pharmacy | 5907 Old Mooringsport Road, Shreveport, LA 71107-2023 | 2013-07-29 |
| 1619058468 | Line Avenue Pharmacy Inc | Pharmacy | 1822 Line Ave, Shreveport, LA 71101-4612 | 2006-10-18 |
| 1215031141 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 3300 Youree Dr, Shreveport, LA 71105-2116 | 2006-09-12 |
| 1033213962 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 9194 Mansfield Rd, Shreveport, LA 71118-3123 | 2006-09-12 |
| 1497760664 | Walgreen Co | Pharmacy | 3124 Line Ave, Shreveport, LA 71104-4240 | 2006-07-29 |
| 1023023298 | Walgreen Co | Pharmacy | 6101 W 70th St, Shreveport, LA 71129-2507 | 2006-07-29 |
| 1235144411 | Walgreen Co | Pharmacy | 3100 N Market St, Shreveport, LA 71107-4005 | 2006-07-29 |
| 1043225212 | Walgreen Co | Pharmacy | 300 Southfield Rd, Shreveport, LA 71105-4112 | 2006-07-29 |
| 1134134307 | Walgreen Co | Pharmacy | 3555 Greenwood Rd, Shreveport, LA 71109-5209 | 2006-07-29 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on GIBSON SALES LP.
| 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.