# GIBBS PHARMACY CLINICAL SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417621392
- **Authorized official:** JAMES GIBBS DPH (AO)
- **Authorized official phone:** (615) 449-3355

## Contact information

- **Practice address:** 1427 W BADDOUR PKWY STE B, LEBANON, TN 37087-3062
- **Practice address phone:** (615) 449-3355
- **Practice address fax:** (615) 449-0083
- **Mailing address:** 1427 W BADDOUR PKWY STE B, LEBANON, TN 37087-3062
- **Mailing address phone:** (615) 449-3355
- **Mailing address fax:** (615) 449-0083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2021
- **Last updated:** 04/29/2025