K.C. Gleaton
Pharmacy, Mail Order Pharmacy in Columbia, MD. Individual provider (NPI-1).
NPI number1760104434
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1760104434
- Entity type
- Individual (NPI-1)
- Name
- K.C. Gleaton
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2022
- Certification date
- Nov 21, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336M0002X | Pharmacy, Mail Order Pharmacy | – | – | Yes |
| 171W00000X | Contractor | – | – | |
| 332900000X | Non-Pharmacy Dispensing Site | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Practice location
10320 Little Patuxent Pkwy Ste 200Columbia, MD 21044-3344
Phone 973-510-2100
Mailing address
2851 Jessup Rd Unit 932Jessup, MD 20794-7545
Phone 973-510-2100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mail Order Pharmacy providers in Columbia, MD
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.