NPIMap

Organization Active NPI

Glotzbach Pharmacy LLC

  • Pharmacy
  • Fowler, IN
National Provider Identifier
1437507340
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GLOTZBACH PHARMACY LLC
Practice address
500 S Grant Ave
Fowler, IN 47944-1636
Phone
(765) 884-1520
Fax
(765) 884-8329
NPI assigned
Jun 1, 2016
Last updated
Jul 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angie Glotzbach
Title
Owner
Phone
(765) 884-1520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

500 S Grant Ave
Fowler, IN 47944-1636

Mailing address

500 S Grant Ave
Fowler, IN 47944-1636
Phone (765) 884-1520

National Provider Directory

National Provider Directory
Tax ID family
Glotzbach Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1437507340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S GRANT AVE",
            "city": "FOWLER",
            "state": "IN",
            "postal_code": "479441636",
            "telephone_number": "765-884-1520",
            "fax_number": "765-884-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S GRANT AVE",
            "city": "FOWLER",
            "state": "IN",
            "postal_code": "479441636",
            "telephone_number": "765-884-1520",
            "fax_number": "765-884-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOTZBACH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "GLOTZBACH",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-884-1520"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowler, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.