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GIBBONS PHARMACIES LLC NPI 1548275191


NPI Information

NPI: 1548275191
Provider Name: GIBBONS PHARMACIES LLC

Doing Business As: GIBBONS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 50D2186507

Address:
117 S TOPPENISH AVE
TOPPENISH, WA
ZIP 98948
Phone: (509) 865-2722
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GIBBONS PHARMACIES LLC is a community/retail pharmacy pharmacy in Toppenish, WA. The provider is 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. GIBBONS PHARMACIES LLC NPI is 1548275191. The provider is registered as an organization entity type.
The provider Is Doing Business As Gibbons Pharmacy.

The provider's business location address is:

117 S TOPPENISH AVE
TOPPENISH, WA
ZIP 98948-557
Phone: (509) 865-2722
Fax: (509) 865-2329

The provider's authorized official is Greg Gibbons .
The authorized official title is Member/pharmacist and has the following contact phone number (509) 865-2722.

The CLIA number assigned to this NPI record is 50D2186507 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 3/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHARCF00005078WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12110118OTHERPK
26021661MEDICAIDWASHINGTON
31033280001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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