GIBSON FAMILY PHARMACY PC (NPI# 1821160615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821160615 |
| Entity Type | Organization |
| Organization Name | GIBSON FAMILY PHARMACY PC |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
1801 W 21st St Clovis NM 88101-4023 |
| Practice Telephone | 5757624579 |
| Practice Fax Number | 5757629612 |
| Mailing Telephone | 5757624579 |
| Mailing Fax Number | 5757629612 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | JIM HERMAN (OWNER PHARMACIST) |
| Authorized Official Telephone | 5757624579 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PH1134 | NM | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3200362 | 01 | |
| NM | DEA # | AG2593083 | 01 |
| NM | 67454 | 05 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043341951 | Gibson Family Pharmacy PC | Pharmacy | 1801 W 21st St Ste B, Clovis, NM 88101-4023 | 2007-03-09 |
| Street Address |
1801 W 21ST ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144551698 | Kindstar, Inc. | Home Health | 1801 W 21st St, Clovis, NM 88101-4023 | 2010-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| 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 |
|---|---|---|---|---|
| 1942615570 | Presbyterian Healthcare Services | Pharmacy | 2401 W. 21st St, Clovis, NM 88101 | 2014-06-23 |
| 1255687489 | Rxadvisors, Inc. | Pharmacy | 2101 Herndon Ave, Clovis, CA 93611-6300 | 2012-07-25 |
| 1609058064 | Foreno Inc | Pharmacy | 195 W Shaw Ave, #101a, Clovis, CA 93612-3700 | 2007-11-28 |
| 1821277344 | Longs Drug Stores California, LLC | Pharmacy | 1794 Ashlan Ave, Clovis, CA 93611 | 2007-11-01 |
| 1043341951 | Gibson Family Pharmacy PC | Pharmacy | 1801 W 21st St Ste B, Clovis, NM 88101-4023 | 2007-03-09 |
| 1982716809 | Medicine Shoppe | Pharmacy | 300 W Shaw Ave Ste 114, Clovis, CA 93612-3680 | 2006-08-31 |
| 1477597813 | Longs Drug Stores California LLC | Pharmacy | 1107 N Willow Ave, Clovis, CA 93611-4408 | 2006-06-16 |
| 1568406395 | Longs Drug Stores California LLC | Pharmacy | 10 Shaw Ave, Clovis, CA 93612-3802 | 2006-06-15 |
| 1780663997 | Save Mart Supermarkets | Pharmacy | 1835 Herndon Ave, Clovis, CA 93611-6109 | 2006-01-16 |
| 1235692864 | Script Pharmacy | Pharmacy | 255 W Herndon Ave Ste 101, Clovis, CA 93612-0381 | 2019-04-10 |
| Find all providers in CLOVIS | ||||
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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.