Michael Stephen Glovich

Key facts

NPI

1891399192

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X

License

RP038236L (PA)

Practice address

212 Pottsville St
Pottsville, PA 17901-8480

Phone

(570) 385-4201

NPI assigned

Nov 27, 2020

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• Pennsylvania CVS Pharmacy, L.L.C. Pharmacy · West Chester, PA · NPI 1639063571
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 27, 2020.

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1891399192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 POTTSVILLE ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 POTTSVILLE ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018480",
            "telephone_number": "570-385-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVICH",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP038236L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Pottsville, PA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Pennsylvania