Individual provider Active NPI

Valerie Ann Glodowski, PHARMD

  • Pharmacist
  • Appleton, WI
National Provider Identifier
1891314985
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17761-40 Issued in WI
Practice address
700 W Wisconsin Ave
Appleton, WI 54914-3511
Phone
(920) 991-1190
NPI assigned
Apr 9, 2020
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17761-40 WI Primary

Addresses

Primary practice location

700 W Wisconsin Ave
Appleton, WI 54914-3511

Mailing address

508 3Rd St
Stevens Point, WI 54481-1703
Phone (715) 340-5211

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CVSHealth

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

LicenseStateTypeSpecialty
17761-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin CVS Pharmacy LLC PastSince Apr 17, 2020 Accepting new patients
Wisconsin CVS Pharmacy LLC PastSince Apr 17, 2020 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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1891314985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 3RD ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811703",
            "telephone_number": "715-340-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143511",
            "telephone_number": "920-991-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLODOWSKI",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "17761-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVSHealth",
            "affiliation": "N",
            "address_1": "700 W Wisconsin Ave",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549143511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.