DR. ANGELA MAE GIBSON (NPI# 1790117026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790117026 |
Entity Type | Individual |
Full Name | DR. ANGELA MAE GIBSON |
Credential | PHARMD |
Practice Address |
311 N Main St Leitchfield KY 42754-2230 |
Practice Telephone | 2702592474 |
Mailing Telephone | 2702592474 |
Enumeration Date | 2013-08-09 |
Last Update Date | 2013-08-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 016671 | KY | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922606573 | Angela Fara Gibson | Technician | 157 11th St, Rupert, WV 25984 | 2020-10-15 |
1922525997 | Angela L Gibson | Counselor | 2646 S Loop W Ste 505f, Houston, TX 77054-2869 | 2017-08-29 |
1073037651 | Angela Gibson | Technician | 2410 Good Hope Rd Se, Washington, DC 20020-3480 | 2017-07-26 |
1164434163 | Angela Goodwin Gibson | Nurse Practitioner | 1500 E., Woodrow Wilson Dr, Jackson Va Medical Center, Jackson, MS 39216 | 2006-08-12 |
1437780285 | Angela Marie Gibson | Physical Therapy Assistant | 164 W Hewett Rd, Santa Rosa Beach, FL 32459-3310 | 2020-01-30 |
1306488952 | Angela Kayleen Gibson | Registered Nurse | 1220 Greenup Ave, Ashland, KY 41101-7525 | 2019-10-16 |
1477941870 | Angela Denise Gibson | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2015-01-07 |
1497981351 | Angela L Gibson | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2009-06-05 |
1689799686 | Angela Diane Gibson | Technician, Other | 100 Laurel Ridge, Polly Summit, Big Stone Gap, VA 24219 | 2007-03-20 |
1013089531 | Angela J Gibson | Social Worker | 10225 Ulmerton Rd, Suite 8-b, Largo, FL 33771-3538 | 2006-11-14 |
Street Address |
311 N MAIN ST |
City | LEITCHFIELD |
State | KY |
Zip Code | 42754-2230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659986412 | Reed Keehner Smith | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2230 | 2020-09-09 |
1417331596 | Victoria Josephina Smith | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2230 | 2015-07-17 |
1245509363 | Donald R Anderson | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2214 | 2011-12-19 |
1447556287 | Walgreen Co | Pharmacy | 311 N Main St, Leitchfield, KY 42754 | 2011-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
Find all providers in zip 42754 |
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 |
---|---|---|---|---|
1356816763 | Jon B Harned | Pharmacist | 406 Grayson St, Leitchfield, KY 42754-2238 | 2018-10-11 |
1740779446 | Jeremy Newton | Pharmacist | 908 Wallace Ave Ste 105, Leitchfield, KY 42754-1479 | 2018-05-08 |
1518567916 | Donald Ray Meers | Pharmacist | 1801 Elizabethtown Rd, Leitchfield, KY 42754-9138 | 2020-10-27 |
1659986412 | Reed Keehner Smith | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2230 | 2020-09-09 |
1750826871 | Mckinzie Toler | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2016-12-28 |
1417331596 | Victoria Josephina Smith | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2230 | 2015-07-17 |
1760897565 | Jonathan Shaw | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2014-07-01 |
1245509363 | Donald R Anderson | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2214 | 2011-12-19 |
1760772529 | David Franklin Tabor | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2011-04-13 |
1407013006 | Jane Jones Fletcher | Pharmacist | 201 S Main St, Leitchfield, KY 42754-1425 | 2008-05-21 |
Find all providers in LEITCHFIELD |
City | LEITCHFIELD |
Zip Code | 42754 |
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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.