Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699283713 Individual Practitioner Male Practitioner

Dr. Ethan Dwane Gibson , PharmD

Pharmacist • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Gibson, PharmD is a registered healthcare professional specializing in Pharmacist in Lexington, KY. Practice services are available at 118 E NEW CIRCLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

118 E New Circle Rd

Lexington, KY 405052115

Telephone 8592541326
Associated Practice Facility / Clinic
🏢 Kentucky Cvs Pharmacy, L.l.c. Facility NPI 1104929850

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
643 Specialists

Practicing in Lexington, KY (4242 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: 2020-12-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License KY 020779

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.

Secondary Practice Locations

426 21st Ave S

Nashville, TN 372032424

Phone: 6153212590

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1184228298

Doctor of Pharmacy (Pharm.D.)

NPI 1225832181
NPI 1508534736

Doctor of Pharmacy (Pharm.D.)

NPI 1518688753

Doctor of Pharmacy (Pharm.D.)

NPI 1528661501

Registered Pharmacist

NPI 1649873514

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 10, 2020

Registered at 118 E NEW CIRCLE RD, LEXINGTON, KY 405052115 (Tel: 8592541326)

📍
Updated Business Mailing Address December 10, 2020

Registered at 1738 HAYMAKER PKWY, LEXINGTON, KY 40509 (Tel: 2705900191)

👤
Provider Name / Credentials Updated December 10, 2020

Recorded as ETHAN GIBSON, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2020

Pharmacist (License #020779 in KY)

NPI Profile Active January 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2018

Registered at 426 21ST AVE S, NASHVILLE, TN 372032424 (Tel: 6153212590)

📍
Updated Business Mailing Address January 11, 2018

Registered at 1528 DRESDEN CIR, NASHVILLE, TN 372154427 (Tel: 2705900191)

👤
Provider Name / Credentials Updated January 11, 2018

Recorded as ETHAN GIBSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 11, 2018

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: 1699283713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2018
Last Update: December 10, 2020
Sole Proprietor: No

Mailing Address

1738 Haymaker Pkwy

Lexington, KY 40509

Phone: 2705900191

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.