Individual provider Active NPI

Cheryl E. Glemser, R.PH.

  • Pharmacist
  • Port St John, FL
National Provider Identifier
1104125921
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS22842 Issued in FL
Practice address
6257 N US Highway 1
Port St John, FL 32927-4925
Phone
(321) 633-8150
Fax
(321) 633-6880
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS22842 FL Primary
Pharmacist 183500000X 22035 TX

Addresses

Primary practice location

6257 N US Highway 1
Port St John, FL 32927-4925

Mailing address

6257 N US Highway 1
Port St John, FL 32927-4925
Phone (321) 633-8150

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
22035TXMDPediatric Dentist
PS22842FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1104125921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6257 N US HIGHWAY 1",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329274925",
            "telephone_number": "321-633-8150",
            "fax_number": "321-633-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 N US HIGHWAY 1",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329274925",
            "telephone_number": "321-633-8150",
            "fax_number": "321-633-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEMSER",
        "first_name": "CHERYL",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS22842",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "22035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St John, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.