Provider Demographics
NPI:1952426033
Name:GIBBS & CREECH LLP
Entity Type:Organization
Organization Name:GIBBS & CREECH LLP
Other - Org Name:CREECH & GIBBS DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-258-0000
Mailing Address - Street 1:13369 N US HIGHWAY 25 E
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-6129
Mailing Address - Country:US
Mailing Address - Phone:606-523-1911
Mailing Address - Fax:606-523-2511
Practice Address - Street 1:13369 N US HIGHWAY 25 E
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-6129
Practice Address - Country:US
Practice Address - Phone:606-523-1911
Practice Address - Fax:606-523-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
KYPO71753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1830050OtherNCPDP PROVIDER IDENTIFICATION NUMBER
6011740001Medicare NSC