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

Mr. Ryan Wesley Gibson

Individual provider Pharmacist · NPI 1194353805

Mr. Ryan Wesley Gibson is a Pharmacist in Hayden, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2020.

Licensed in
ID, WA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

550 W Honeysuckle Ave
Hayden, ID 83835-6042
Phone: (208) 209-4081
Fax: (208) 209-4057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence I63666 (ID)
Pharmacist Taxonomy 183500000X · Licence IR60900576 (WA)

Record details

NPI number1194353805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2020
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address809 W Spofford Ave Apt 6, Spokane, WA 99205-4666

Other providers in Hayden