KAITLYN GIBSON (NPI# 1821697269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821697269 |
| Entity Type | Individual |
| Full Name | KAITLYN GIBSON |
| Credential | PHARMD |
| Practice Address |
548 Cc Camp Rd Elkin NC 28621-8704 |
| Mailing Address |
3667 Signet Dr Winston Salem NC 27101-2263 |
| Practice Telephone | 3365262640 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 29802 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319719 | Kaitlyn Renae Gibson | Optometrist | 13115 Wicker Ave Ste E, Cedar Lake, IN 46303-7400 | 2020-08-31 |
| 1932611829 | Kaitlyn Gibson | Licensed Practical Nurse | 960 Boardman Canfield Rd, Boardman, OH 44512-4220 | 2017-10-31 |
| 1154878247 | Kaitlyn Marie Gibson | Nurse Practitioner | 53 Marion Rd, Wareham, MA 02571-1406 | 2016-09-06 |
| Street Address |
548 CC CAMP RD |
| City | ELKIN |
| State | NC |
| Zip Code | 28621-8704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467470260 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 548 Cc Camp Rd, Elkin, NC 28621-8704 | 2006-07-18 |
| 1407258767 | Ashley Bowden | Pharmacist | 548 Cc Camp Rd, Elkin, NC 28621-8704 | 2014-09-18 |
| 1588079636 | Khaled Moustafa | Pharmacist | 548 Cc Camp Rd, Elkin, NC 28621-8704 | 2014-06-27 |
| 1295818128 | Wal-mart Stores East Lp | Eyewear Supplier (Equipment, not the service) | 548 Cc Camp Rd, Elkin, NC 28621 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
| 1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
| 1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
| 1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
| 1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
| 1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
| 1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
| 1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
| 1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
| 1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
| Find all providers in zip 28621 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824480 | Kelechi Courage Chavis Onyiriuka | Pharmacist | 505 Samaritans Ridge Ct Ste 101, Elkin, NC 28621-2457 | 2018-03-13 |
| 1598997512 | Jeffrey Lee Gross | Pharmacist | 1475 N Bridge St, Elkin, NC 28621-2334 | 2009-08-10 |
| 1407258767 | Ashley Bowden | Pharmacist | 548 Cc Camp Rd, Elkin, NC 28621-8704 | 2014-09-18 |
| 1629483441 | Kathryn Fleury | Pharmacist | 1209 N Bridge St, Elkin, NC 28621-2301 | 2014-07-01 |
| 1588079636 | Khaled Moustafa | Pharmacist | 548 Cc Camp Rd, Elkin, NC 28621-8704 | 2014-06-27 |
| 1144644824 | Beth Suddreth Pence | Pharmacist | 116 E Main St, Elkin, NC 28621-3429 | 2014-02-14 |
| 1902220726 | Lori Coe Wyble | Pharmacist | 116 E Main St, Elkin, NC 28621-3429 | 2014-02-13 |
| 1962792721 | Scott Hanson | Pharmacist | 1127 N Bridge St, Elkin, NC 28621-2407 | 2011-04-13 |
| 1144524000 | Kim S Somers | Pharmacist | 1127 N Bridge St, Elkin, NC 28621-2407 | 2011-01-06 |
| 1831491083 | Charla Smith Pridgen | Pharmacist | 1209 N Bridge St, Elkin, NC 28621-2301 | 2010-11-20 |
| Find all providers in ELKIN | ||||
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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.