Active NPI
Patrick Gladfelter
- Pharmacist
- Everett, PA
National Provider Identifier
1407683402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP449728
- Practice address
- 72 Mile Level Road
Everett, PA 15537 - Phone
- (181) 462-3333
- NPI assigned
- Sep 16, 2024
- Last updated
- Sep 16, 2024
- Sex
- Male
- 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 | RP449728 | PA | Primary |
Addresses
Primary practice location
72 Mile Level Road
Everett, PA 15537
Mailing address
175 Lisburn Rd
Wellsville, PA 17365-9210
Phone (813) 997-1613
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 |
|---|---|---|---|
| RP449728 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1407683402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 LISBURN RD",
"city": "WELLSVILLE",
"state": "PA",
"postal_code": "173659210",
"telephone_number": "813-997-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 MILE LEVEL ROAD",
"city": "EVERETT",
"state": "PA",
"postal_code": "15537",
"telephone_number": "181-462-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADFELTER",
"first_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.