GIBSON PHARMACY SERVICES LLC (NPI# 1821442856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821442856 |
| Entity Type | Organization |
| Organization Name | GIBSON PHARMACY SERVICES LLC |
| Other Organization Name | GIBSON'S PHARMACY |
| Practice Address |
240 E Winchester St Murray UT 84107-7305 |
| Practice Telephone | 8012625526 |
| Practice Fax Number | 8012620125 |
| Mailing Telephone | 8012625526 |
| Mailing Fax Number | 8012620125 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | BYRON ROBINSON (OWNER/MANAGER) |
| Authorized Official Telephone | 8012625526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 9754571-1703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160207 | 01 |
| Other Name | Type Code |
|---|---|
| Gibson's Pharmacy | Doing Business As Name - Organization |
| Street Address |
240 E WINCHESTER ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984716 | Katie Mattson | Pharmacist | 240 E Winchester St, Murray, UT 84107-7305 | 2020-05-22 |
| 1629564208 | Christopher Reed Orton | Pharmacist | 240 E Winchester St, Murray, UT 84107-7305 | 2018-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093502 | Alan Keith Bennion | Pharmacy | 5761 S Surreyrun Rd, Murray, UT 84107-6610 | 2020-11-07 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1790147833 | University of Utah | Pharmacy | 6056 S Fashion Square Dr Ste 1000, Suite 1000, Murray, UT 84107-5410 | 2016-03-28 |
| 1861504771 | Gibsons Pharmacy Inc | Pharmacy | 240 E 6400 S, Murray, UT 84107-7305 | 2006-08-31 |
| 1447360078 | Costco Wholesale Corporation | Pharmacy | 5201 S Intermountain Dr, Murray, UT 84107 | 2006-08-30 |
| 1851300404 | Pharmacy 2, Inc. | Pharmacy | 82 Spruce Street Business Center, Suite 102, Murray, KY 42071 | 2006-08-05 |
| 1093747032 | Freds Stores of Tennessee Inc | Pharmacy | 928 S 12th St, Murray, KY 42071-2949 | 2006-07-07 |
| 1851901870 | Kpc Promise Hospital of Salt Lake LLC | Pharmacy | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2020-08-04 |
| 1275908568 | Ihc Health Services Inc | Pharmacy | 5121 S Cottonwood St, Building 5 Ll2, Murray, UT 84107-5701 | 2015-12-11 |
| 1356674667 | Maceys Inc | Pharmacy | 5632 S 900 E, Murray, UT 84121-1034 | 2009-09-18 |
| Find all providers in MURRAY | ||||
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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.