OrganizationActive
Gibson Pharmacy of Grenada, Inc
NPI 1861533820 · Community/Retail Pharmacy · Grenada, MS
Gibson Pharmacy of Grenada, Inc is a Community/Retail Pharmacy organization in Grenada, MS (NPI 1861533820).
Provider details
- NPI number
- 1861533820
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Fred Fortenberry, Pres(662) 226-6589
- License
- 00662 (MS)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
710 Lakeview Dr
Grenada, MS 38901-4346
Phone: (662) 226-6589
Fax: (662) 226-1604
Approximate (ZIP-level) locationGet directions
Mailing address
710 Lakeview Dr
Grenada, MS 38901-4346
Other names (DBA / former)
- Other name
- Gibson Pharmacy
Registry dates
- Enumerated
- 2007-02-10
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gibson Pharmacy of Grenada, Inc's NPI number?
- Gibson Pharmacy of Grenada, Inc's National Provider Identifier (NPI) is 1861533820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gibson Pharmacy of Grenada, Inc?
- Gibson Pharmacy of Grenada, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Gibson Pharmacy of Grenada, Inc located?
- Gibson Pharmacy of Grenada, Inc's practice location on file with NPPES is 710 Lakeview Dr, Grenada, MS 38901-4346.
- What is Gibson Pharmacy of Grenada, Inc's phone number?
- The practice phone number listed in the NPPES registry for Gibson Pharmacy of Grenada, Inc is (662) 226-6589.
- Who is the authorized official for Gibson Pharmacy of Grenada, Inc?
- The authorized official listed on Gibson Pharmacy of Grenada, Inc's NPPES record is Fred Fortenberry, Pres. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gibson Pharmacy of Grenada, Inc's NPI active?
- Yes — Gibson Pharmacy of Grenada, Inc's NPI (1861533820) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.