Organization Active NPI

Gleaton Pharmacy Group

  • Community/Retail Pharmacy
  • Charleston, SC
National Provider Identifier
1821531062
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16975 Issued in SC
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

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Krisalyn Gleaton, PHARMDNPI 1043532856
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2166249OtherPK

Other names 1

  • Focus: Meds Pharmacy and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.