DR. JACOB LEE GIBBS (NPI# 1568804458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568804458 |
| Entity Type | Individual |
| Full Name | DR. JACOB LEE GIBBS |
| Credential | PHARMD |
| Practice Address |
201 Island Ford Rd Ste D Maiden NC 28650-8733 |
| Practice Telephone | 8284280668 |
| Practice Fax Number | 8284283303 |
| Mailing Telephone | 8284280668 |
| Mailing Fax Number | 8284283303 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14252 | SC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 23523 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629383427 | Jacob Gibbs | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-08-17 |
| Street Address |
201 ISLAND FORD RD STE D |
| City | MAIDEN |
| State | NC |
| Zip Code | 28650-8733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679633812 | Center Pharmacy of Maiden Inc | Pharmacy | 201 Island Ford Rd Ste D, Maiden, NC 28650-8733 | 2006-12-11 |
| 1962035725 | Angelina Lee Cha | Pharmacist | 201 Island Ford Rd Ste D, Maiden, NC 28650-8733 | 2020-02-19 |
| 1710294517 | Center Pharmacy of Maiden Inc. | Pharmacy | 201 Island Ford Rd Ste D, Maiden, NC 28650-8733 | 2010-09-01 |
| 1043531916 | Robert Kent Stamey | Pharmacist | 201 Island Ford Rd Ste D, Maiden, NC 28650-8733 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023132693 | The Mental Health Fund Inc | Community/Behavioral Health | 401 N 4th Ave, Maiden, NC 28650 | 2007-03-19 |
| 1891725271 | Darryl L Hatchett | Dentist | 5962 Hwy 16 South, Maiden, NC 28650 | 2006-07-03 |
| 1477563229 | Keith Eric Mcmanus | Family Medicine | 137 Island Ford Rd, Maiden, NC 28650 | 2006-08-08 |
| 1356449946 | Michael A Reott Sr. | Dentist | Highway 321 South, Maiden, NC 28650-0615 | 2006-09-20 |
| 1730454711 | Business Coaches & Consultants, Inc. | Clinic/Center | 551 W Main St, Maiden, NC 28650-1134 | 2012-03-09 |
| 1124663778 | Gaston Family Health Services, Inc. | Clinic/Center | 600 W Main St, Maiden, NC 28650-1146 | 2019-11-07 |
| 1144547480 | James Harry Cushman II | Chiropractor | 601 E Main St, Maiden, NC 28650-1419 | 2010-04-27 |
| 1780825893 | Maiden Community Chiropractic | Chiropractor | 601 E Main St, Maiden, NC 28650-1419 | 2009-03-19 |
| 1699916767 | Amy Nicole Moon-cushman | Chiropractor | 601 E Main St, Maiden, NC 28650-1419 | 2009-03-18 |
| 1649347048 | Amanda Michelle Cline-grant | Chiropractor | 601 E Main St, Maiden, NC 28650-1419 | 2006-11-29 |
| Find all providers in zip 28650 | ||||
| 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 |
|---|---|---|---|---|
| 1962035725 | Angelina Lee Cha | Pharmacist | 201 Island Ford Rd Ste D, Maiden, NC 28650-8733 | 2020-02-19 |
| 1639555360 | Nickolas Smith | Pharmacist | 6028 S Nc 16 Hwy, Maiden, NC 28650-8114 | 2015-08-04 |
| 1376846824 | Amy Freeman | Pharmacist | 6028 S Nc 16 Hwy, Maiden, NC 28650-8114 | 2010-12-06 |
| 1043531916 | Robert Kent Stamey | Pharmacist | 201 Island Ford Rd Ste D, Maiden, NC 28650-8733 | 2010-06-15 |
| 1194047415 | Jean Michaelle Gilbert | Pharmacist | 6028 S Nc 16 Hwy, Maiden, NC 28650-8114 | 2010-03-01 |
| 1811222136 | Karen Burns | Pharmacist | 6028 S Nc 16 Hwy, Maiden, NC 28650-8114 | 2009-10-04 |
| 1073848453 | Margaret Zapadka | Pharmacist | 6028 S Nc 16 Hwy, Maiden, NC 28650-8114 | 2009-10-02 |
| 1467466672 | Gregory Merlin Shull | Pharmacist | 625 E Main St, Maiden, NC 28650-1419 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1679173611 | Keith Mcbrayer Hunt | Pharmacist | 630 Bostic Sunshine Hwy, Bostic, NC 28018-9779 | 2020-10-29 |
| 1518566066 | Amitkumar Prahaladbhai Patel | Pharmacist | 5450 New Hope Commons Dr # 2137, Durham, NC 27707-9716 | 2020-10-25 |
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1578160149 | Brett Daniel England | Pharmacist | 401 Glenwood Ave Ste 101, Raleigh, NC 27603-1219 | 2020-10-06 |
| 1215544580 | Sarah Payne Maddox | Pharmacist | 1 Hospital Dr Rm 2231, Asheville, NC 28801-4550 | 2020-09-30 |
| 1093321739 | James Doyle Richardson | Pharmacist | 1072 N Main St Ste 103, Walnut Cove, NC 27052-9312 | 2020-09-18 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1912512997 | Sheri Mitten | Pharmacist | 202 Swordgate Dr, Cary, NC 27513-1630 | 2020-09-15 |
| 1669087953 | Elton Wayne Long | Pharmacist | 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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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.