IndividualActive
Levon Gibson, RPH
NPI 1972815975 · Geriatric Pharmacist · Plainview, NY
Provider details
- NPI number
- 1972815975
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 054170 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
55 W Ames Ct
Suite 200
Plainview, NY 11803-2304
Phone: (516) 938-8080
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Peachford Rd
Dunwoody, GA 30338-5846
Registry dates
- Enumerated
- 2010-07-07
- Last updated
- 2010-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.