Active NPI
Julie Glassmaker
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1396234068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42608
- Practice address
- 915 Village CT
Santa Rosa, CA 95405-6759 - Phone
- (707) 542-1879
- NPI assigned
- May 8, 2018
- Last updated
- May 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 42608 | CA | Primary |
Addresses
Primary practice location
915 Village CT
Santa Rosa, CA 95405-6759
Mailing address
2909 Brookwood Dr
Napa, CA 94558-4304
Other practice location 1
939 Lakeville St
Petaluma, CA 94952-3329
Phone (707) 762-1036
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42608 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1396234068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 BROOKWOOD DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945584304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 VILLAGE CT",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056759",
"telephone_number": "707-542-1879"
}
],
"practiceLocations": [
{
"address_1": "939 Lakeville St",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949523329",
"country_code": "US",
"telephone_number": "707-762-1036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLASSMAKER",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.