Active NPI
Jacqueline Beth Gladstone, RPH
- Pharmacist
- Scottsdale, AZ
National Provider Identifier
1740878149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH18337
- Practice address
- 7901 E Thomas Rd # 509328
Scottsdale, AZ 85251-6541 - Phone
- (480) 945-0396
- NPI assigned
- Jan 2, 2021
- Sex
- Female
- 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 | PH18337 | MA | Primary |
Addresses
Primary practice location
7901 E Thomas Rd # 509328
Scottsdale, AZ 85251-6541
Mailing address
PO Box 577160
Chicago, IL 60657-7323
Phone (773) 343-2120
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 |
|---|---|---|---|
| PH18337 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1740878149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 577160",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577323",
"telephone_number": "773-343-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 E THOMAS RD # 509328",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516541",
"telephone_number": "480-945-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADSTONE",
"first_name": "JACQUELINE",
"middle_name": "BETH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-02",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MA",
"license": "PH18337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.