GLENN FORTIN (NPI# 1073792099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073792099 |
| Entity Type | Individual |
| Full Name | GLENN FORTIN |
| Credential | RPH |
| Practice Address |
35 Columbia Rd Hanover MA 02339-2317 |
| Mailing Address |
12 Foster Ave Marshfield MA 02050-3813 |
| Practice Telephone | 7814994003 |
| Practice Fax Number | 7814994006 |
| Mailing Telephone | 7814994003 |
| Mailing Fax Number | 7814994006 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21965 | MA | Pharmacy Service Providers |
| Street Address |
35 COLUMBIA RD |
| City | HANOVER |
| State | MA |
| Zip Code | 02339-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487742599 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 35 Columbia Rd, Hanover, MA 02339-2317 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916500 | Michelle Benvie | Dietitian, Registered | 228 Columbia Rd, D3, Hanover, MA 02339 | 2016-04-05 |
| 1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
| 1124306220 | Cynthia Kay Wisted | Physical Therapist | 645 Washington St, Hanover, MA 02339 | 2011-07-25 |
| 1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
| 1578862272 | Life Enhancement Psychotherapy LLC | Social Worker | 427 Columbia Rd Ste 108, Hanover, MA 02339 | 2011-03-21 |
| 1396067427 | Leslie Anne Powers | Marriage & Family Therapist | 51 Mill Street, Suite 8, Hanover, MA 02339 | 2010-02-16 |
| 1871824912 | Mary Teresa Egan | Acupuncturist | 222 Webster Street, Hanover, MA 02339 | 2010-01-28 |
| 1669604393 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1167 Washington St, Hanover, MA 02339 | 2009-08-13 |
| 1720248404 | Louis J Vanrenen | Acupuncturist | American Acupuncture, 171 Rockland Street, Hanover, MA 02339 | 2008-06-16 |
| 1629245204 | Jeanne M Christianson | Acupuncturist | Harmony Wellness Center, 51 Mill Street #8, Hanover, MA 02339 | 2008-05-13 |
| Find all providers in zip 02339 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884925 | Alison Lunceford | Pharmacist | 161 Laurence Dr, Hanover, PA 17331-9662 | 2020-09-03 |
| 1124644042 | Neil Partridge | Pharmacist | 11231 Garland Park Ln, Hanover, VA 23069-0016 | 2020-06-17 |
| 1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
| 1598044992 | Paul Thomas Dowell | Pharmacist | 6286 Mound St, Hanover, MD 21076-1005 | 2011-08-16 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| 1790073203 | Thomas Sedlacko | Pharmacist | 31 Wilson Avenue, T-2567, Hanover, PA 17331 | 2011-07-18 |
| 1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
| 1831489467 | Robert Anthony Kolar Jr. | Pharmacist | 43-47 Baltimore St, Hanover, PA 17331-3109 | 2011-04-16 |
| 1952691933 | David Christopher Schaefer | Pharmacist | 301 Eisenhower Dr, Hanover, PA 17331-5219 | 2011-04-12 |
| 1508171273 | Gladys Bauzon Bakken | Pharmacist | 1430 Baltimore St, Hanover, PA 17331-8529 | 2010-08-18 |
| Find all providers in HANOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.