Active NPI
Gladys June Allen, RPH
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1720051626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12562
- Practice address
- 2080 Child St
Jacksonville, FL 32214-5005 - Phone
- (904) 270-4205
- Fax
- (904) 270-4454
- NPI assigned
- Feb 10, 2006
- 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 | 12562 | AL | Primary |
Addresses
Primary practice location
2080 Child St
Jacksonville, FL 32214-5005
Mailing address
1164 Linkside Dr
Atlantic Beach, FL 32233-4387
Phone (904) 247-3715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942 | Other | DSN | |
| N00232 | Other | UIC |
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 |
|---|---|---|---|
| 12562 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720051626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 LINKSIDE DR",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322334387",
"telephone_number": "904-247-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-270-4205",
"fax_number": "904-270-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "GLADYS",
"middle_name": "JUNE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSN",
"identifier": "942",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIC",
"identifier": "N00232",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.