Jerry Leonard Glocke, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

7975040 Issued in WI

Practice address

2442 State Rd
La Crosse, WI 54601-6155

Phone

(608) 775-8571

Fax

(608) 775-8578

NPI assigned

Jan 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1306999396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 PINE ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502029",
            "telephone_number": "608-519-1181",
            "fax_number": "608-775-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 STATE RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016155",
            "telephone_number": "608-775-8571",
            "fax_number": "608-775-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOCKE",
        "first_name": "JERRY",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "7975040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janel N Glantz, M.D.
• James E Glasser, MD
• Stacey L Glaunert, PA
• Eva Gleason, CSW
• Haley Glock, DO
• Alison Neal Glowacki, MD
• Jessica Gloyd
• Kristen Anne Godding
• Ragna Adair Godtland, OD
• Patricia Mary Goede, ADN

• Pharmacist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.