Active NPI
Gloria Hannah, R.PH.
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1487065769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13357
- Practice address
- 4588 Parkview PL
Saint Louis, MO 63110-1029 - Phone
- (970) 381-9413
- NPI assigned
- May 8, 2014
- 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 | 13357 | CO | Primary |
Addresses
Primary practice location
4588 Parkview PL
Saint Louis, MO 63110-1029
Mailing address
762 Barrett Rd
Clover, SC 29710-7643
Phone (970) 381-9413
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13357 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1487065769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 BARRETT RD",
"city": "CLOVER",
"state": "SC",
"postal_code": "297107643",
"telephone_number": "970-381-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4588 PARKVIEW PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101029",
"telephone_number": "970-381-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAH",
"first_name": "GLORIA",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.