Active NPI
Joseph Glaser, RPH
- Pharmacist
- Selden, NY
National Provider Identifier
1154109403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 070676
- Practice address
- 229 Independence PLZ
Selden, NY 11784-2417 - Phone
- (631) 698-5400
- NPI assigned
- Sep 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 070676 | NY | Primary |
Addresses
Primary practice location
229 Independence PLZ
Selden, NY 11784-2417
Mailing address
12 Wilmont Turn
Coram, NY 11727-1034
Phone (631) 942-9698
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070676 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1154109403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WILMONT TURN",
"city": "CORAM",
"state": "NY",
"postal_code": "117271034",
"telephone_number": "631-942-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 INDEPENDENCE PLZ",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842417",
"telephone_number": "631-698-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASER",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "070676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.