LYNETTE R GLOCKNER, INC. (NPI# 1124500160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124500160 |
| Entity Type | Organization |
| Organization Name | LYNETTE R GLOCKNER, INC. |
| Other Organization Name | MATHEWS PHARMACY |
| Practice Address |
10858 Buckley Hall Road Mathews VA 23109 |
| Mailing Address |
11451 Coveside Pt Gloucester VA 23061-2576 |
| Practice Telephone | 8047252556 |
| Practice Fax Number | 8047250786 |
| Mailing Telephone | 3302217450 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | MRS. LYNETTE RENAE GLOCKNER (OWNER/PHARMACIST) |
| Authorized Official Telephone | 3302217450 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Mathews Pharmacy | Doing Business As Name - Organization |
| Street Address |
10858 BUCKLEY HALL ROAD |
| City | MATHEWS |
| State | VA |
| Zip Code | 23109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940926 | Jessica Tracy Archinal | Psychologist | 387 Church Street, Mathews, VA 23109 | 2018-01-30 |
| 1114375904 | Emily May | Occupational Therapy Assistant | 1030 Pine Hall Road, Mathews County, VA 23109 | 2016-06-02 |
| 1265774012 | Ingrid Elizabeth Fincher | Nurse Practitioner | 10976 Buckley Hall Rd, Mathews, VA 23109 | 2013-03-20 |
| 1902135130 | 5 Star Oriental Medicine | Clinic/Center | 28 Church Street, Mathews, VA 23109 | 2009-12-17 |
| 1861597692 | Brad E Skelding | Social Worker | 40 Court Street, Mathews, VA 23109 | 2006-09-14 |
| 1255448379 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 603 Main St., Mathews, VA 23109 | 2006-08-24 |
| 1205846870 | Mathews County Public Schools | Local Education Agency (LEA) | 63 Church Street, Mathews, VA 23109 | 2006-08-08 |
| 1295756096 | Riverside Physician Services Inc | Internal Medicine | 10976 Buckley Hall Road, Mathews, VA 23109 | 2006-07-21 |
| 1679548705 | Shannon D Burris | Nurse Practitioner | 28 Church St, Mathews, VA 23109 | 2006-02-22 |
| 1831677459 | Lynette Renae Glockner | Pharmacy | 10858 Buckley Hall Rd, Mathews, VA 23109 | 2018-08-06 |
| Find all providers in zip 23109 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831677459 | Lynette Renae Glockner | Pharmacy | 10858 Buckley Hall Rd, Mathews, VA 23109 | 2018-08-06 |
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| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
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| Find all providers with the same taxonomy | ||||
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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.