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Peter A. Gibbons, PHARMD

NPI 1639586761ActiveIndividual· Pharmacist· Jerome, ID

Pharmacist (PHARMD) in Jerome, Idaho, licensed in ID, with an NPI issued in July 2014. Part D covered 184 prescriptions written in 2024.

Overview

NPI1639586761
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedJul 21, 2014
Last updated in NPPESJul 21, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XP6251ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)184 · 216 30-day fills
Patients91
Total drug cost$22,882

Medicare sources and data years

Other Pharmacist providers in Jerome

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