Active NPI
Gregory Clifton Glass, PHARM D
- Pharmacist
- Mobile, AL
National Provider Identifier
1518494822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15123
- Practice address
- 3456 Hillcrest Rd
BLDG B Ste D
Mobile, AL 36695 - Phone
- (251) 665-4521
- Fax
- (251) 665-4522
- NPI assigned
- May 17, 2017
- Sex
- Male
- 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 | 15123 | AL | Primary |
Addresses
Primary practice location
3456 Hillcrest Rd
BLDG B Ste D
Mobile, AL 36695
Mailing address
3456 Hillcrest Rd
BLDG B Ste D
Mobile, AL 36695
Phone (251) 665-4521
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 |
|---|---|---|---|
| 15123 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Past | Accepting new patients | |
| Northeast Pharmaceuticals Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Mobile, AL
- NPI 1821478017
-
- Long Term Care Pharmacy
- Mobile, AL
- NPI 1447496849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1518494822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 HILLCREST RD",
"address_2": "BLDG B STE D",
"city": "MOBILE",
"state": "AL",
"postal_code": "36695",
"telephone_number": "251-665-4521",
"fax_number": "251-665-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3456 HILLCREST RD",
"address_2": "BLDG B STE D",
"city": "MOBILE",
"state": "AL",
"postal_code": "36695",
"telephone_number": "251-665-4521",
"fax_number": "251-665-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "GREGORY",
"middle_name": "CLIFTON",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.