Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851261945 Individual Practitioner Male Practitioner

Dr. Jax Gibson , PharmD

Pharmacist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jax Gibson, PharmD is a registered healthcare professional specializing in Pharmacist in St Augustine, FL. Practice services are available at 5440 STATE ROAD 16 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5440 State Road 16

St Augustine, FL 320921349

Telephone 9049405556
Fax 9049408965
Associated Practice Facility / Clinic
🏢 Walgreen Co. Facility NPI 1205084266

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
56 Specialists

Practicing in St Augustine, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS69543

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1255613139

Registered Pharmacist

NPI 1457242778
NPI 1477886224

DOCTOROFPHARMACY

NPI 1780400135

Registered Pharmacist

NPI 1922926112

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 05, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2025

Registered at 5440 STATE ROAD 16, ST AUGUSTINE, FL 320921349 (Tel: 9049405556)

📍
Updated Business Mailing Address November 05, 2025

Registered at 653 REESE AVE, ORANGE PARK, FL 320658214 (Tel: 9049405556)

👤
Provider Name / Credentials Updated November 05, 2025

Recorded as JAX GIBSON, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2025

Pharmacist (License #PS69543 in FL)

🟢
Initial NPI Registration & Enumeration November 05, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851261945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2025
Last Update: November 05, 2025
Sole Proprietor: Yes

Mailing Address

653 Reese Ave

Orange Park, FL 320658214

Phone: 9049405556

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.