Lisa Childers Glorioso

Primary specialty

PharmacistTaxonomy code 183500000X

License

27316 Issued in TX

Practice address

717 S Washington Ave
Marshall, TX 75670-5337

Phone

(903) 938-6741

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Matthewson Drug Co Inc

  • Long Term Care Pharmacy
  • Marshall, TX
  • NPI 1922879402
  NPD (past)
• Matthewson Drug Co Inc

  • Community/Retail Pharmacy
  • Marshall, TX
  • NPI 1992791750
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1154980357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 HOGAN DR APT 3606",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757096963",
            "telephone_number": "903-930-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S WASHINGTON AVE",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705337",
            "telephone_number": "903-938-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLORIOSO",
        "first_name": "LISA",
        "middle_name": "CHILDERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "13101",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "27316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jims Oommen George, PHARM.D
• Gerald E. Nissley, Jr., Psy.D., PLLC
• Terry Lynn Gerber, M.D.
• Gibson Discount Pharmacy of Marshall Inc
• Kennedy E Gladding, ATC
• Good Shepherd Medical Center - Marshall
• Grace Care of Texas
• Grace Care of Texas
• Grace Care of Texas, Inc.
• Grace Care of Texas, Inc.

• Pharmacist in Marshall, TX
• Providers in Marshall, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.