Jacqueline E Gleason, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

14872 Issued in AL

Practice address

1001 Pelham Rd S
Jacksonville, AL 36265-3021

Phone

(256) 435-2095

Fax

(256) 435-8774

NPI assigned

Nov 16, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Alabama CVS Pharmacy LLC

  dba CVS Pharmacy #17862

  • Pharmacy
  • Auburn, AL
  • NPI 1619668076
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1790388536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 LAKEVIEW ST",
            "city": "STEELE",
            "state": "AL",
            "postal_code": "359872222",
            "telephone_number": "256-390-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653021",
            "telephone_number": "256-435-2095",
            "fax_number": "256-435-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "JACQUELINE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "14872",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Counseling and Consulting
• Ashley Lynn Garrett, LPC, MS, ED.S
• Ellie Kimiko Garrett
• Cara Nicole Gauldin
• Genta Medical Clinic P.C.
• Stephanie C Gossett, RD
• Ryan Mathew Grammer, PT, DPT
• Jonathan Griffith, ATC, LAT
• Leisha Hancock
• Shelby McKenzie Harper

• Pharmacist in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.