Active NPI
Gleaton Pharmacy Group
- Community/Retail Pharmacy
- Charleston, SC
National Provider Identifier
1821531062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 16975
- Legal business name
- GLEATON PHARMACY GROUP
- Practice address
- 2000 Sam Rittenberg Blvd Ste 134
Charleston, SC 29407-4629 - Phone
- (843) 818-4638
- Fax
- (843) 952-7157
- NPI assigned
- Nov 21, 2016
- 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
- Krisalyn Gleaton, PHARMD
- Title
- Owner
- Phone
- (843) 991-8403
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 16975 | SC | Primary |
Addresses
Primary practice location
2000 Sam Rittenberg Blvd Ste 134
Charleston, SC 29407-4629
Mailing address
PO Box 30866
Charleston, SC 29417-0866
Phone (843) 818-4638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166249 | Other | PK |
Other names 1
- Focus: Meds Pharmacy and Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170410000013 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668758517 | Practice locations: Charleston, SC |
| O20230420002551 | SC | DME Supplier - Pharmacy | 2668758517 | Practice locations: Charleston, SC |
National Provider Directory
National Provider Directory- Tax ID family
- Focus Meds Pharmacy and Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Charleston, SC
- NPI 1942700018
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Thomasville, NC
- NPI 1043532856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1821531062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30866",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294170866",
"telephone_number": "843-818-4638",
"fax_number": "843-952-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SAM RITTENBERG BLVD STE 134",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074629",
"telephone_number": "843-818-4638",
"fax_number": "843-952-7157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLEATON PHARMACY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A",
"authorized_official_last_name": "GLEATON",
"authorized_official_first_name": "KRISALYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-991-8403",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "16975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2166249",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Focus: Meds Pharmacy and Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Focus: Meds Pharmacy and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.