Bobby Glaze, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

017116 Issued in KY

Practice address

2360 Stony Brook Dr
Louisville, KY 40220-4018

Phone

(502) 493-8719

NPI assigned

Jun 23, 2014

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2014.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1376958884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 BROOKFIELD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072004",
            "telephone_number": "870-833-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STONY BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204018",
            "telephone_number": "502-493-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZE",
        "first_name": "BOBBY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "017116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven D. Glassman, M.D.
• Abigail Christine Glastetter, PSYD
• Brian Barrett Glatt, DMD
• Louis Paschal Glavinos Sr., RPH
• Saybah Glay
• Jeffrey D Glazer, MD
• Christopher John Glazier, AA, RBT
• Angelita Glean-Francia, MD
• Carolyn Banks Gleason, M.D.
• Erica Gleason

• All providers in Louisville, KY
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.