Dalton Gibson, Pharm.D.
Pharmacist in Newcastle, OK. Individual provider (NPI-1).
NPI number1386156271
StatusActive
Last updated in NPPESOct 31, 2017
Details
- NPI
- 1386156271
- Entity type
- Individual (NPI-1)
- Name
- Dalton Gibson
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2017
- Last updated
- Oct 31, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 17536 | OK | Yes |
Practice location
3232 Tri City DrNewcastle, OK 73065-6324
Phone 405-387-5006 · Fax 405-387-5092
Mailing address
3232 Tri City DrNewcastle, OK 73065-6324
Phone 405-387-5006 · Fax 405-387-5092
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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