GLENNS PHARMACY INC (NPI# 1275544819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275544819 |
| Entity Type | Organization |
| Organization Name | GLENNS PHARMACY INC |
| Practice Address |
205 Main St Salem NY 12865 |
| Mailing Address |
Po Box 624 Salem NY 12865-0624 |
| Practice Telephone | 5188543781 |
| Practice Fax Number | 5188543827 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GLENN STOKEN (PRESIDENT) |
| Authorized Official Telephone | 5188543781 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 026476 | NY | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3336410 | 01 | |
| NY | 02510612 | 05 | |
| UT | 1010393 | 05 |
| Street Address |
205 MAIN ST |
| City | SALEM |
| State | NY |
| Zip Code | 12865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972670362 | Glenn Stokem | Pharmacist | 205 Main St, Salem, NY 12865-0624 | 2006-11-29 |
| 1275609216 | Beth Steves | Pharmacist | 205 Main St, Salem, NY 12865-0624 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467478917 | Salem Rescue Squad Inc | Ambulance | 152 East Broadway, Salem, NY 12865 | 2006-07-15 |
| 1902101264 | Barbara J Pratt | Physical Therapist | 213 Main St, Salem, NY 12865 | 2011-01-18 |
| 1053522268 | Carrie L Mcneil | Family Medicine | 213 Main Street, Salem Family Health Center, Salem, NY 12865 | 2007-05-28 |
| 1194818658 | Kelly M Smith | Physician Assistant | 213 Main Street, Salem Family Health Center, Salem, NY 12865 | 2006-10-02 |
| 1710052055 | Bryer Chiropractic Tr | Chiropractor | Co 197 North Main Street, Salem, NY 12865-0007 | 2006-11-21 |
| 1285921411 | Kathleen Christensen | Registered Nurse | 29 Park Place, Salem, NY 12865-0093 | 2011-07-08 |
| 1164639993 | Eileen Kathryn Dashnaw | Occupational Therapist | 42 Priest Rd, Salem, NY 12865-1914 | 2007-05-17 |
| 1871641464 | Salem Central School | Local Education Agency (LEA) | 41 E Broadway, Salem, NY 12865-3100 | 2007-01-08 |
| 1972878056 | Stacy Lin Durrin Riche | Occupational Therapist | 41 E Broadway, Salem, NY 12865-3100 | 2012-03-21 |
| 1285901322 | Kellaine Connolly | Specialist/Technologist | 41 E Broadway, Salem Central School District, Salem, NY 12865-3100 | 2011-11-17 |
| Find all providers in zip 12865 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275020521 | Chs, Inc | Pharmacy | 3737 W Main St Ste 106, Salem, VA 24153-2073 | 2018-04-21 |
| 1275811218 | Trinity Pharmacy LLC | Pharmacy | 396 E Burwell St, Salem, VA 24153-4329 | 2011-07-25 |
| 1134277130 | F H Wolken Inc | Pharmacy | 1136 E State St, Salem, OH 44460-2230 | 2007-01-08 |
| 1003972985 | J H Lease Drug Co | Pharmacy | 229 N Ellsworth Ave, Salem, OH 44460-2803 | 2006-12-28 |
| 1700972759 | Quisenberry Pharmacies Inc. | Pharmacy | 2345 Center St Ne, Salem, OR 97301-4464 | 2006-10-05 |
| 1467467308 | Marc Glassman Inc | Pharmacy | 2487 E State St, Salem, OH 44460-2586 | 2006-07-29 |
| 1073538773 | Kroger Limited Partnership I | Pharmacy | 1477 W Main St, Salem, VA 24153-3120 | 2006-07-13 |
| 1447284211 | Kroger Limited Partnership I | Pharmacy | 1925 Electric Rd, Salem, VA 24153-7424 | 2006-07-10 |
| 1952347817 | Fred Meyer Stores Inc | Pharmacy | 3740 Market St Ne, Salem, OR 97301-1826 | 2006-06-21 |
| 1154367019 | Fred Meyer Stores Inc | Pharmacy | 3450 Commercial St Se, Salem, OR 97302-4635 | 2006-06-21 |
| Find all providers in SALEM | ||||
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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.