Active NPI
Tracy M Glaser, RPH
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1861780959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38681
- Practice address
- 1795 Jet Wing Dr
Colorado Springs, CO 80916-2332 - Phone
- (719) 639-2256
- NPI assigned
- Jul 11, 2011
- 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 | 38681 | TX | Primary |
Addresses
Primary practice location
1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
Mailing address
7435 Centennial Glen Dr
Colorado Springs, CO 80919-5014
Phone (817) 614-4006
Other practice location 1
875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone (719) 630-3421
Other practice location 2
30 S Nevada Ave # L04
Colorado Springs, CO 80903-1802
Phone (719) 385-2261
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 |
|---|---|---|---|
| 38681 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1861780959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7435 CENTENNIAL GLEN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809195014",
"telephone_number": "817-614-4006",
"fax_number": "817-282-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 JET WING DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162332",
"telephone_number": "719-639-2256"
}
],
"practiceLocations": [
{
"address_1": "875 W Moreno Ave",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809051731",
"country_code": "US",
"telephone_number": "719-630-3421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 S Nevada Ave # L04",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809031802",
"country_code": "US",
"telephone_number": "719-385-2261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLASER",
"first_name": "TRACY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.