Active NPI
Brian J Gleason, RPH
- Pharmacist
- Brookfield, WI
National Provider Identifier
1558638320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- WI13106-040
- Practice address
- 15738 W Capitol Dr
Brookfield, WI 53005-2201 - Phone
- (262) 781-6926
- NPI assigned
- Nov 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | WI13106-040 | WI | Primary |
Addresses
Primary practice location
15738 W Capitol Dr
Brookfield, WI 53005-2201
Mailing address
15738 W Capitol Dr
Brookfield, WI 53005-2201
Phone (262) 781-6926
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 |
|---|---|---|---|
| WI13106-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1558638320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15738 W CAPITOL DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052201",
"telephone_number": "262-781-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15738 W CAPITOL DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052201",
"telephone_number": "262-781-6926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-22",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "WI13106-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.