Individual provider · Type 1 NPI

Jax Gibson, PharmD

Pharmacist · St. Augustine, FL

NPI number 1851261945 Active

Practice location

5440 State Road 16
St. Augustine, FL 32092-1349

Call (904) 940-5556 Map

Fax (904) 940-8965

Mailing address

653 Reese Ave
Orange Park, FL 32065-8214

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PS69543 (FL)

Pharmacist: 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…

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About NPI 1851261945

Jax Gibson, PharmD's National Provider Identifier is 1851261945, issued on Nov 5, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Augustine, FL. The record was last updated on Nov 5, 2025.