Gill David Gladding

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS28134 Issued in FL

Practice address

6712 US Highway 98 W
Santa Rosa Beach, FL 32459-6900

Phone

(850) 622-1319

NPI assigned

Nov 20, 2020

Sex

Male

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

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Santa Rosa Beach, FL
  • NPI 1790075760
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1053914903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 US HIGHWAY 98 W",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596900",
            "telephone_number": "850-622-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 US HIGHWAY 98 W",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596900",
            "telephone_number": "850-622-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADDING",
        "first_name": "GILL",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS28134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Gavilan Yodu, MD
• Ryan Gegg, D.O.
• Marlene Giaconia
• Angela Marie Gibson, PTA
• Kasey Gilliss, DC
• Hillary Louise Glenn, DNP, ARNP-BC
• Luis Fernando Gomez, M.D.
• Sean Goynes
• Gene Greenlees, MD
• Wendy Sheffield Greenlees, ARNP

• Pharmacist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Pharmacist in Florida

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