Active NPI
Glades Drugs Inc.
- Pharmacist
- Boca Raton, FL
National Provider Identifier
1700540366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- GLADES DRUGS INC.
- Practice address
- 1095 Broken Sound Pkwy NW
Boca Raton, FL 33487-3501 - Phone
- (561) 231-3131
- NPI assigned
- Oct 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jamia Tillman
- Title
- President
- Phone
- (561) 402-6762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | Primary |
Addresses
Primary practice location
1095 Broken Sound Pkwy NW
Boca Raton, FL 33487-3501
Mailing address
733 Rickey Jackson Blvd
Pahokee, FL 33476-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613319331 | Medicaid | CA | |
| 295061497 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Loose9k@icloud.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
1095 Broken Sound Pkwy NW
Boca Raton, FL 33487
Phone (561) 231-3131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635379200000",
"number": "1700540366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 RICKEY JACKSON BLVD",
"city": "PAHOKEE",
"state": "FL",
"postal_code": "334762500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 BROKEN SOUND PKWY NW",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873501",
"telephone_number": "561-231-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLADES DRUGS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A",
"authorized_official_last_name": "TILLMAN",
"authorized_official_first_name": "JAMIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-402-6762",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "613319331",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295061497",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Loose9k@icloud.com",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1095 Broken Sound Pkwy NW",
"city": "Boca Raton",
"state": "FL",
"country_code": "US",
"postal_code": "334873501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.