Gleason Pharmacy Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLEASON PHARMACY SERVICES INC

Practice address

3251 Ginger Creek Dr Ste a
Springfield, IL 62711-7423

Phone

(217) 891-1449

Fax

(866) 591-1654

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Timothy Arthur Gleason

Title

President

Phone

(217) 632-2288

Specialties & licenses 1

Addresses

Other names 1

• Potter Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gleason Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Petersburg, IL
  • NPI 1598145724

  8123313418

  Same PAC ID
• Gleason Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Rochester, IL
  • NPI 1902319510

  8123313418

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Gleason Pharmacy Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Gleason Pharmacy Services Inc

  • Long Term Care Pharmacy
  • Petersburg, IL
  • NPI 1134953359
  NPD tax ID
• Gleason Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Athens, IL
  • NPI 1437690567
  NPD tax ID
• Gleason Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Petersburg, IL
  • NPI 1598145724
  NPD tax ID
• Gleason Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Rochester, IL
  • NPI 1902319510
  NPD tax ID

Locations

Practitioners 1

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

• Kacey Crum, PHARMD

  • Pharmacist
  • Springfield, IL
  • NPI 1619716529
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1962260117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ROCK RIVER RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627118338",
            "telephone_number": "217-891-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 GINGER CREEK DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117423",
            "telephone_number": "217-891-1449",
            "fax_number": "866-591-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEASON PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-632-2288"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potter Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Potter Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara S Glasgow, CRNA
• Patricia Jordan Glasscock, CRNA
• Ralph Glasser, MD
• Peter Ellis Glatz, DDS
• Robert Peter Glatz, MSW
• Christopher L Gleason, M.D.
• Theodore J. Gleason, M.D.
• Karoline Gleave
• Heather L D Glessner, M.S., C.G.C.
• Robert S. Glickenberger, MD

• Community/Retail Pharmacy in Springfield, IL
• Providers in Springfield, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.