Alycia Clair Gleason, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

31RI0411180 Issued in NJ

Practice address

596 Shrewsbury Ave
Tinton Falls, NJ 07701-4965

Phone

(732) 741-7904

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1023623766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HEATHER WAY",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014965",
            "telephone_number": "732-741-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "ALYCIA",
        "middle_name": "CLAIR",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "31RI0411180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lyn Gesualdi, DPM
• Michael A Giannotti
• Benjamin M. Giliberti, MD
• Sheila Franklin Gilstein, LPC
• Cary D Glastein, M.D
• Andrew Gamal; Gobran, DDS
• Galina Goldenberg, DDS
• Alejandro Gomez, MD
• Priscila N Gonzalez, MD
• Michael Gottfried, M.D.

• Pharmacist in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.