GIBSONS PHARMACY NO3
NPI 1407980493
Pharmacy - Community/Retail Pharmacy in Petal, MS

Active since March 14, 2007
216 W CENTRAL AVE, PETAL, MS 39465(601) 582-0254(601) 582-0255 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About GIBSONS PHARMACY NO3

This page provides the complete NPI Profile along with additional information for Gibsons Pharmacy No3, a provider established in Petal, Mississippi operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1407980493 assigned on March 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 00347 (MS). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. John W Anderson Rph (Pres)

NPI
1407980493 Verify this NPI
Provider Name
GIBSONS PHARMACY NO3
Entity Type
Organization
Location Address
216 W CENTRAL AVE PETAL, MS 39465
Location Phone
(601) 582-0254
Location Fax
(601) 582-0255
Mailing Address
216 W CENTRAL AVE PETAL, MS 39465
Mailing Phone
(601) 582-0254
Mailing Fax
(601) 582-0255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
08-16-2010
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
00347
License State
MS
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. JOHN W ANDERSON RPH

Authorized Official Title
PRES
Authorized Official Phone
(601) 582-0254

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00032018MEDICAID (05)MS 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407980493, enumerated as an "organization" on March 14, 2007.

The provider is located at 216 W CENTRAL AVE PETAL, MS 39465 and the phone number is (601) 582-0254.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.