Gladstone Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLADSTONE PHARMACY INC.

Practice address

20 S 10TH St
Gladstone, MI 49837-1526

Phone

(906) 428-4240

Fax

(906) 428-9416

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter Emling

Title

Owner

Phone

(906) 428-4240

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GLADSTONE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Marie Wellman, R.D.

  • Registered Dietitian
  • Iron Mountain, MI
  • NPI 1780759209
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003928003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S 10TH ST",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 10TH ST",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371526",
            "telephone_number": "906-428-4240",
            "fax_number": "906-428-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EMLING",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-428-4240"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301006295",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2354784",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3170630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLADSTONE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• G Scott Kelly DDS PC
• Gallery B Smiles
• Dana Gehlhausen, L.AC.
• Kellie Jean Gillis, DC
• Gladstone Eye Care PC
• Justin Grabowski
• Ned James Hall, R.PH.
• Daniel John Howes, P.T.
• Iron Mountain Vamc
• Dawn Marie Jarvey, REGISTERED NURSE

• All providers in Gladstone, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.