Individual provider Active NPI

Krisalyn K Gleaton, PHARMD.

  • Pharmacist
  • Thomasville, NC
National Provider Identifier
1043532856
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19144 Issued in NC
Practice address
1122 Randolph St
Thomasville, NC 27360-5175
Phone
(336) 476-8190
Fax
(336) 476-5042
NPI assigned
Feb 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19144 NC Primary

Addresses

Primary practice location

1122 Randolph St
Thomasville, NC 27360-5175

Mailing address

1122 Randolph St
Thomasville, NC 27360-5175
Phone (336) 476-8190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19144NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gleaton Pharmacy Group, LLC Current Accepting new patients
Focus Meds Wellness LLC Current Accepting new patients
Gleaton Pharmacy Group Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1043532856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 RANDOLPH ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605175",
            "telephone_number": "336-476-8190",
            "fax_number": "336-476-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 RANDOLPH ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605175",
            "telephone_number": "336-476-8190",
            "fax_number": "336-476-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEATON",
        "first_name": "KRISALYN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "19144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.