IndividualActive
Theresa Gibson, PHARMD
NPI 1891399168 · Pharmacist · Jacksonville, FL
Provider details
- NPI number
- 1891399168
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- PS54279 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5972 University Blvd W
Jacksonville, FL 32216-4912
Phone: (904) 419-5670
Fax: (904) 419-5676
Street-level locationGet directions
Mailing address
14533 Amelia Cove Dr
Jacksonville, FL 32226-1491
Registry dates
- Enumerated
- 2020-11-26
- Last updated
- 2020-11-26
- Certified
- 2020-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.