Active NPI
Gloria H Angelo, PHARM-D
- Pharmacist
- Nespelem, WA
National Provider Identifier
1306993662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00015647
- Practice address
- 29 Nespelem-Sanpoil
Agency Campus
Nespelem, WA 99155 - Phone
- (509) 422-7735
- Fax
- (509) 422-7738
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 8, 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 | PH00015647 | WA | Primary |
Addresses
Primary practice location
29 Nespelem-Sanpoil
Agency Campus
Nespelem, WA 99155
Mailing address
12056 Hwy 21
Keller, WA 99140-2056
Phone (509) 634-4430
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 |
|---|---|---|---|
| PH00015647 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306993662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12056 HWY 21",
"city": "KELLER",
"state": "WA",
"postal_code": "991402056",
"telephone_number": "509-634-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 NESPELEM-SANPOIL",
"address_2": "AGENCY CAMPUS",
"city": "NESPELEM",
"state": "WA",
"postal_code": "99155",
"telephone_number": "509-422-7735",
"fax_number": "509-422-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELO",
"first_name": "GLORIA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "PHARM-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00015647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nespelem, WA
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.