Active NPI
Gladys George, PHARMD
- Pharmacist
- Wayne, NJ
National Provider Identifier
1164009478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03768500
- Practice address
- 791 Hamburg Tpke
Wayne, NJ 07470-8416 - Phone
- (973) 832-7200
- Fax
- (973) 832-7201
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 28RI03768500 | NJ | Primary |
Addresses
Primary practice location
791 Hamburg Tpke
Wayne, NJ 07470-8416
Mailing address
791 Hamburg Tpke
Wayne, NJ 07470-8416
Phone (973) 832-7200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03768500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley RX LLC | Current | Accepting new patients | |
| Valley RX LLC | Past | Accepting new patients |
Locations
791 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 832-7200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1164009478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074708416",
"telephone_number": "973-832-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074708416",
"telephone_number": "973-832-7200",
"fax_number": "973-832-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "GLADYS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-04-22",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03768500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.