Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jax Gibson, PHARMD

Individual provider Pharmacist · NPI 1851261945

Jax Gibson, PHARMD is a Pharmacist in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

5440 State Road 16
St Augustine, FL 32092-1349
Phone: (904) 940-5556
Fax: (904) 940-8965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS69543 (FL)

Record details

NPI number1851261945
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address653 Reese Ave, Orange Park, FL 32065-8214

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