GIBSON'S PHARMACY OF JONESBORO INC
NPI 1326049131
Pharmacy in Jonesboro, AR

NPI Status: Active since August 02, 2005

Contact Information

403 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 972-9125
Fax: (870) 972-1624

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  • Organization
  • Pharmacy
  • CLIA Number: 04D2313196
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 10-27-2026

About GIBSON'S PHARMACY OF JONESBORO INC

This page provides the complete NPI Profile along with additional information for Gibson's Pharmacy Of Jonesboro Inc, a provider established in Jonesboro, Arkansas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1326049131 assigned on August 2005. The practitioner's primary taxonomy code is 333600000X with license number 06914 (AR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Kenneth Ron Gibson P.d. (President)

NPI
1326049131
Provider Name
GIBSON'S PHARMACY OF JONESBORO INC
Entity Type
Organization
Location Address
403 E MATTHEWS AVE JONESBORO, AR 72401
Location Phone
(870) 972-9125
Location Fax
(870) 972-1624
Mailing Address
403 E MATTHEWS AVE JONESBORO, AR 72401
Mailing Phone
(870) 972-9125
Mailing Fax
(870) 972-1624
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
06914
License State
AR
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENNETH RON GIBSON P.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(870) 972-9125

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2313196
Facility Type
Pharmacy
Certificate Effective Date
October 28, 2024
Certificate Expiration Date
October 27, 2026
Laboratory Director
BRITTANI L. MALLETT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gibson's Pharmacy Of Jonesboro Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326049131
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346041816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 0 + 4 + 1 + 8 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1326049131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730404724 BRITTANI L MALLETT PHARMD
Individual
Pharmacist403 E MATTHEWS AVE
JONESBORO, AR 72401
(870) 972-9125
1407171481 BRIAN P OHOLENDT PHARMD
Individual
Pharmacist403 E MATTHEWS AVE
JONESBORO, AR 72401
(870) 972-9125
1588989578 BRANDY LANE PHARMD
Individual
Pharmacist403 E MATTHEWS AVE
JONESBORO, AR 72401
(870) 972-9125
1346571106GIBSONS PHARMACY OF CRAIGHEAD COUNTY INC
Organization
Pharmacy403 E MATTHEWS AVE
JONESBORO, AR 72401
(870) 972-1333
1912114695GIBSON'S PHARMACY OF JONESBORO, INC.
Organization
Pharmacist403 E MATTHEWS AVE
JONESBORO, AR 72401
(870) 972-9125
1811751993GIBSONS PHARMACY OF CRAIGHEAD COUNTY INC
Organization
Pharmacy (Long Term Care Pharmacy)403 E MATTHEWS AVE
JONESBORO, AR 72401
(870) 972-9125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326049131, enumerated in the NPI registry as an "organization" on August 02, 2005

The provider is located at 403 E Matthews Ave Jonesboro, Ar 72401 and the phone number is (870) 972-9125

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider's CLIA number is 04D2313196 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 02, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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