GLENN RUSTY REX (NPI# 1134114903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134114903 |
| Entity Type | Individual |
| Full Name | GLENN RUSTY REX |
| Credential | D.PH. |
| Practice Address |
Rr 2 Box 247 Stroud OK 74079-9652 |
| Mailing Address |
4202 W 18th Ave Stillwater OK 74074-1603 |
| Practice Telephone | 9189689531 |
| Practice Fax Number | 9189680113 |
| Mailing Telephone | 4057478999 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 20503 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 8894 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902254204 | Glenn Ethan Patrick Rex | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2016-05-26 |
| Street Address |
RR 2 BOX 247 |
| City | STROUD |
| State | OK |
| Zip Code | 74079-9652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083821011 | Sac & Fox Nation | Clinic/Center | Rr 2 Box 247, Stroud, OK 74079-9652 | 2007-05-17 |
| 1780742924 | Debra Kay Mee | Psychiatry & Neurology | Rr 2 Box 247, Stroud, OK 74079-9652 | 2006-12-04 |
| 1235219783 | Amanda Harkreader | Pharmacist | Rr 2 Box 247, Stroud, OK 74079-9652 | 2006-10-17 |
| 1407869548 | Jane Rich | Pharmacist | Rr 2 Box 247, Stroud, OK 74079-9652 | 2006-08-13 |
| 1366455420 | Sac & Fox Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Rr 2 Box 247, Stroud, OK 74079-9652 | 2006-08-13 |
| 1912929324 | Tom E Denton | Family Medicine | Rr 2 Box 247, Stroud, OK 74079-9652 | 2006-07-24 |
| 1275510349 | Eugene M Hoyt | Internal Medicine | Rr 2 Box 247, Stroud, OK 74079-9652 | 2005-12-29 |
| 1225024821 | Stacie Marie Miller | Pharmacist | Rr 2 Box 247, Stroud, OK 74079-9652 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649710369 | Daniel Hall | Nurse Practitioner | 2308 Ok-66, Stroud, OK 74079 | 2017-02-28 |
| 1407106636 | Danita Kollars | Counselor | 256110 E. 930 Rd, Stroud, OK 74079 | 2012-09-14 |
| 1790798411 | Dental Designs of Stroud | Dentist | 401 W Main, Stroud, OK 74079 | 2006-08-14 |
| 1720019953 | Fidelity Health Care Consultants, P.C. | Clinic/Center | 320 North 4th Ave., Stroud, OK 74079 | 2006-07-05 |
| 1205836061 | Thomas Seymour Henry | Internal Medicine | Route 2 Box 247, Black Hawk Health Center, Stroud, OK 74079 | 2005-07-22 |
| 1275934283 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1600 W Highway 66, Stroud, OK 74079-2804 | 2014-09-09 |
| 1548603855 | Jennifer Dae Arvizu | Occupational Therapy Assistant | 218 W 5th St, Stroud, OK 74079-3419 | 2013-04-17 |
| 1073030243 | John Daniel Neal | Counselor | 501 N 1st Ave, Stroud, OK 74079-3446 | 2017-08-28 |
| 1508999145 | Timothy D Moore Od PC | Optometrist | 109 W Main St, Stroud, OK 74079-3607 | 2007-03-13 |
| 1417935008 | Timothy Dean Moore | Optometrist | 109 W Main St, Stroud, OK 74079-3607 | 2006-01-04 |
| Find all providers in zip 74079 | ||||
| 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 |
|---|---|---|---|---|
| 1023655008 | Briana Lynn Spirlock | Pharmacist | 406 W Main St, Stroud, OK 74079-3614 | 2019-12-09 |
| 1699296905 | Camaron Eugene Snider | Pharmacist | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2017-06-28 |
| 1235219783 | Amanda Harkreader | Pharmacist | Rr 2 Box 247, Stroud, OK 74079-9652 | 2006-10-17 |
| 1962513127 | Bill R Ash | Pharmacist | 406 W Main St, Stroud, OK 74079-3614 | 2006-08-31 |
| 1407869548 | Jane Rich | Pharmacist | Rr 2 Box 247, Stroud, OK 74079-9652 | 2006-08-13 |
| 1225024821 | Stacie Marie Miller | Pharmacist | Rr 2 Box 247, Stroud, OK 74079-9652 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| 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.