Active NPI
Gladys Theiler
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1265118301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00010114
- Practice address
- 101 Coors Blvd NW
Albuquerque, NM 87121-2016 - Phone
- (505) 831-3147
- NPI assigned
- Jun 23, 2023
- Last updated
- Aug 20, 2024
- Sex
- Female
- 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 | RP00010114 | NM | Primary |
Addresses
Primary practice location
101 Coors Blvd NW
Albuquerque, NM 87121-2016
Mailing address
101 Coors Blvd NW
Albuquerque, NM 87121-2016
Phone (505) 831-3147
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 |
|---|---|---|---|
| RP00010114 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1265118301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871212016",
"telephone_number": "505-831-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871212016",
"telephone_number": "505-831-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEILER",
"first_name": "GLADYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00010114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
- The University of New Mexico Health Sciences Center (New Mexico Newborn Transport)
- The Water Collection LLC
- The Well Collective, LLC
- The Willow Tree Center for Counseling, Psychotherapy, and Clinical Hyp
- The Woodmark at Uptown
- Meghan Louise Theiss, MA, LMHC
- Andrea K Thelen, PA
- Sereena Rae Thelen, M.S. CCC-SLP
- Tara Kathryn Thelen, LMHC
- Themis Training and Consulting LLC (Thunderbird Rising Recovery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.