Patrick Gladfelter
Individual provider Active NPI Pharmacist · Everett, PA
NPI 1407683402 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1407683402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP449728 (PA)
- Practice address
- 72 Mile Level Road
Everett, PA 15537 - Phone
- (181) 462-3333
- NPI assigned
- Sep 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP449728 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP449728 | PA | Yes |
Addresses
Primary practice location
72 Mile Level Road
Everett, PA 15537
Mailing address
175 Lisburn Rd
Wellsville, PA 17365-9210
Phone (813) 997-1613
Other providers in Everett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.