Individual provider Active NPI

Sheila Marie Glencer, PHARMD

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1366885873
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18752 Issued in IA
Practice address
8850 N 83Rd Ave
Omaha, NE 68122-2254
Phone
(402) 740-5967
NPI assigned
Apr 15, 2013
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10906 NE
Pharmacist 183500000X 18752 IA Primary

Addresses

Primary practice location

8850 N 83Rd Ave
Omaha, NE 68122-2254

Mailing address

8850 N 83Rd Ave
Omaha, NE 68122-2254
Phone (402) 740-5967

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

LicenseStateTypeSpecialty
18752IAMDPharmacist
10906NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1366885873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 N 83RD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681222254",
            "telephone_number": "402-740-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 N 83RD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681222254",
            "telephone_number": "402-740-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENCER",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10906",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.