Active NPI
Kimberly Jean Glisson, PHARMD
- Pharmacist
- Pensacola, FL
National Provider Identifier
1417294273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45055
- Practice address
- 5055 N 9TH Ave
Pensacola, FL 32504-8719 - Phone
- (850) 484-9978
- Fax
- (850) 473-6824
- NPI assigned
- Jan 13, 2013
- Sex
- Female
- Sole proprietor
- No
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 | PS45055 | FL | Primary |
Addresses
Primary practice location
5055 N 9TH Ave
Pensacola, FL 32504-8719
Mailing address
5055 N 9TH Ave
Pensacola, FL 32504-8719
Phone (850) 484-9978
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS45055 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358035200000",
"number": "1417294273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048719",
"telephone_number": "850-484-9978",
"fax_number": "850-473-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048719",
"telephone_number": "850-484-9978",
"fax_number": "850-473-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLISSON",
"first_name": "KIMBERLY",
"middle_name": "JEAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-13",
"last_updated": "2013-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.