Active NPI
Glenda Lee Conley
- Pharmacist
- Riverside, CA
National Provider Identifier
1902361389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40248
- Practice address
- 4646 Brockton Ave
Riverside, CA 92506-0102 - Phone
- (951) 788-4646
- Fax
- (951) 774-2836
- NPI assigned
- Feb 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 40248 | CA | Primary |
Addresses
Primary practice location
4646 Brockton Ave
Riverside, CA 92506-0102
Mailing address
5050 Pikes CT
Riverside, CA 92509-5417
Phone (951) 202-5024
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40248 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549670400000",
"number": "1902361389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 PIKES CT",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925095417",
"telephone_number": "951-202-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925060102",
"telephone_number": "951-788-4646",
"fax_number": "951-774-2836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "GLENDA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-09",
"last_updated": "2019-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "40248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
- Compassionate Journey Non Emergency Transport LLC
- Compean and Mowrey Dental Corporation
- Brad Kenneth Compliment, PH.D. PSYCHOLOGIST
- Annette Guzzetta Compton, LMFT
- Computerized Diagnostic Imaging Center
- Phillip Conley, CP
- Tina Latrice Conley, MS
- Connect Hearing, Inc.
- Connect Hearing, Inc.
- Connect2Md Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.