NPIMap

Organization Active NPI

Gleason Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Athens, IL
National Provider Identifier
1437690567
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.020373 Issued in IL
Legal business name
GLEASON PHARMACY SERVICES INC
Practice address
214 Abe Lincoln Dr Unit 2
Athens, IL 62613-7800
Phone
(217) 952-7030
Fax
(217) 952-7031
NPI assigned
Mar 8, 2017
Last updated
Jun 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Timothy GleasonNPI 1669970984
Title
Owner/President/Pic/Ao
Phone
(217) 891-1449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054.020373 IL Primary

Addresses

Primary practice location

214 Abe Lincoln Dr Unit 2
Athens, IL 62613-7800

Mailing address

214 Abe Lincoln Dr Unit 2
Athens, IL 62613-7800
Phone (217) 891-1449

Other identifiers 1

IdentifierTypeStateIssuer
2174744OtherPK

Other names 1

  • Potter Drug Other name

National Provider Directory

National Provider Directory
Tax ID family
Gleason Pharmacy Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

214 Abe Lincoln Dr
Unit 2
Athens, IL 62613
Phone (217) 952-7030

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1437690567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ABE LINCOLN DR UNIT 2",
            "city": "ATHENS",
            "state": "IL",
            "postal_code": "626137800",
            "telephone_number": "217-891-1449",
            "fax_number": "217-632-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ABE LINCOLN DR UNIT 2",
            "city": "ATHENS",
            "state": "IL",
            "postal_code": "626137800",
            "telephone_number": "217-952-7030",
            "fax_number": "217-952-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEASON PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PIC/AO",
        "authorized_official_telephone_number": "217-891-1449"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.020373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potter Drug",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, IL

Sources for this page

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

Verify at the official NPI Registry.