Individual provider Active NPI

John Robert Gleespen, PHARMD

  • Pharmacist
  • Manchester, MD
National Provider Identifier
1184226565
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16104 Issued in MD
Practice address
3321 Main St Ste A1
Manchester, MD 21102-1790
Phone
(410) 239-2300
Fax
(410) 239-4744
NPI assigned
Nov 11, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16104 MD Primary

Addresses

Primary practice location

3321 Main St Ste A1
Manchester, MD 21102-1790

Mailing address

PO Box 886
Manchester, MD 21102-0886
Phone (410) 239-2300

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

LicenseStateTypeSpecialty
16104MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Pharmacy Inc CurrentSince Nov 15, 2020 Accepting new patients
Manchester Pharmacy, Inc CurrentSince Nov 15, 2020 Accepting new patients

Locations

3321 Main St
Ste A1
Manchester, MD 21102
Phone (410) 239-2300

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1184226565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211020886",
            "telephone_number": "410-239-2300",
            "fax_number": "410-239-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 MAIN ST STE A1",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021790",
            "telephone_number": "410-239-2300",
            "fax_number": "410-239-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEESPEN",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MD

Sources for this page

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