Active NPI
Daniel Glidden, PHARM D
- Pharmacist
- Clewiston, FL
National Provider Identifier
1285270397
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Oct 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41601
- Practice address
- 1005 W Sugarland Hwy
Clewiston, FL 33440-2706 - Phone
- (863) 983-8756
- Fax
- (863) 983-6398
- NPI assigned
- Nov 24, 2019
- Sex
- Male
- 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 | PS41601 | FL | Primary |
Addresses
Primary practice location
1005 W Sugarland Hwy
Clewiston, FL 33440-2706
Mailing address
1005 W Sugarland Hwy
Clewiston, FL 33440-2706
Phone (863) 983-8756
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41601 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574553600000",
"number": "1285270397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W SUGARLAND HWY",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334402706",
"telephone_number": "863-983-8756",
"fax_number": "863-983-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W SUGARLAND HWY",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334402706",
"telephone_number": "863-983-8756",
"fax_number": "863-983-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIDDEN",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-24",
"last_updated": "2019-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clewiston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.