Active NPI
Rebecca D Gleghorn, D.PH.
- Pharmacist
- Fayetteville, TN
National Provider Identifier
1205960457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9582
- Practice address
- 106 Elk Ave S
Fayetteville, TN 37334-3050 - Phone
- (931) 433-1511
- Fax
- (931) 433-6854
- NPI assigned
- Mar 16, 2007
- 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 | 9582 | TN | Primary |
Addresses
Primary practice location
106 Elk Ave S
Fayetteville, TN 37334-3050
Mailing address
3105 Lewisburg Hwy
Petersburg, TN 37144-7640
Phone (931) 659-6989
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9582 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carters Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Fayetteville, TN
- NPI 1639237761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205960457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 LEWISBURG HWY",
"city": "PETERSBURG",
"state": "TN",
"postal_code": "371447640",
"telephone_number": "931-659-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ELK AVE S",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373343050",
"telephone_number": "931-433-1511",
"fax_number": "931-433-6854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEGHORN",
"first_name": "REBECCA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.