IndividualActive
Nicole Glines, PHARMD
NPI 1154854313 · Pharmacist · Roosevelt, UT
Provider details
- NPI number
- 1154854313
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 6447858-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 W 300 N
Roosevelt, UT 84066-2336
Phone: (435) 722-6123
Street-level locationGet directions
Mailing address
292 Park Pl
Roosevelt, UT 84066-2669
Registry dates
- Enumerated
- 2017-04-05
- Last updated
- 2017-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.