{
"Npi": {
"NPI": "1952426033",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GIBBS & CREECH LLP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "13369 N US HIGHWAY 25 E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORBIN",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40701-6129",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "606-523-1911",
"MailingAddressFaxNumber": "606-523-2511",
"FirstLinePracticeLocationAddress": "13369 N US HIGHWAY 25 E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CORBIN",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40701-6129",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "606-523-1911",
"PracticeLocationAddressFaxNumber": "606-523-2511",
"EnumerationDate": "03/20/2007",
"LastUpdateDate": "11/09/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIBBS",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACY OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "606-258-0000",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PO7175",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}