Individual provider Active NPI

Nora Lee Glassman, RPH

  • Pharmacist
  • Rio Rancho, NM
National Provider Identifier
1356692073
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00007793 Issued in NM
Practice address
4300 Ridgecrest Dr SE
Rio Rancho, NM 87124-5911
Phone
(505) 892-2262
Fax
(505) 892-1163
NPI assigned
Sep 20, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00007793 NM Primary
Pharmacist 183500000X 19076 IA
Pharmacist 183500000X 051286343 IL

Addresses

Primary practice location

4300 Ridgecrest Dr SE
Rio Rancho, NM 87124-5911

Mailing address

4300 Ridgecrest Dr SE
Rio Rancho, NM 87124-5911
Phone (505) 892-2262

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
19076IAMDPharmacist
051286343ILMDPharmacist
RP00007793NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1356692073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 RIDGECREST DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245911",
            "telephone_number": "505-892-2262",
            "fax_number": "505-892-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 RIDGECREST DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245911",
            "telephone_number": "505-892-2262",
            "fax_number": "505-892-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "NORA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007793",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19076",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051286343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.