Active NPI
Michele Nicole Glienke, PHARMD
- Pharmacist
- Newport, RI
National Provider Identifier
1780287672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH04842
- Practice address
- 181 Bellevue Ave
Newport, RI 02840-3989 - Phone
- (401) 846-7800
- Fax
- (401) 847-7016
- NPI assigned
- Nov 21, 2020
- Last updated
- Nov 21, 2020
- 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 | RPH04842 | RI | Primary |
Addresses
Primary practice location
181 Bellevue Ave
Newport, RI 02840-3989
Mailing address
54 Dixon St Apt a
Newport, RI 02840-6898
Phone (908) 596-1400
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 |
|---|---|---|---|
| RPH04842 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island CVS Pharmacy LLC | Past | Accepting new patients | |
| Rhode Island CVS Pharmacy, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1780287672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 DIXON ST APT A",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028406898",
"telephone_number": "908-596-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 BELLEVUE AVE",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028403989",
"telephone_number": "401-846-7800",
"fax_number": "401-847-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIENKE",
"first_name": "MICHELE",
"middle_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH04842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.