JOHN D GLENN (NPI# 1457348047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457348047 |
| Entity Type | Individual |
| Full Name | JOHN D GLENN |
| Credential | RPH,CDE |
| Practice Address |
34 Nw Park Ave Baxley GA 31513-0049 |
| Practice Telephone | 9123672488 |
| Practice Fax Number | 9123677235 |
| Mailing Telephone | 9123672488 |
| Mailing Fax Number | 9123677235 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12138 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417272030 | John Edward Glenn | Massage Therapist | 1434 29th Ave, Seattle, WA 98122-3202 | 2010-04-07 |
| 1437282191 | John Glenn Jr. | Ophthalmology | 2901 E 29th St Ste 101, Bryan, TX 77802-2691 | 2007-03-13 |
| 1780713891 | John Glenn Iv | Chiropractor | 105 Louviers Dr, Newark, DE 19711-4163 | 2007-03-05 |
| 1194765420 | John A Glenn Jr. | Family Medicine | 840 Professional Center Dr, Eastman, GA 31023-6734 | 2006-06-07 |
| 1821056433 | John L Glenn | General Practice | 84 E. State St, St. Mary's Hospital, Gloversville Fam Hlth Cntr, Gloversville, NY 12078 | 2006-05-03 |
| 1043681349 | John Glenn | Physical Therapist | 1300 Braden St, Jacksonville, AR 72076-3719 | 2015-10-13 |
| 1457779266 | John Molloy Glenn IIi | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2014-03-31 |
| 1265677942 | John B Glenn IIi | Chiropractor | 3440 Bell St, Suite 122, Amarillo, TX 79109-4142 | 2008-12-09 |
| 1225188030 | John David Glenn | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-12 |
| 1043319676 | John Kenneth Glenn | Physician Assistant | 2460 Ne Griffin Oaks St, Suite D1000, Hillsboro, OR 97124-2672 | 2006-09-21 |
| Street Address |
34 NW PARK AVE |
| City | BAXLEY |
| State | GA |
| Zip Code | 31513-0049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710441621 | Igou Family Pharmacy | Pharmacy | 34 Nw Park Ave, Baxley, GA 31513-0049 | 2019-01-24 |
| 1407035579 | Fulghum Drugs Inc | Durable Medical Equipment & Medical Supplies | 34 Nw Park Ave, Baxley, GA 31513-0049 | 2007-10-25 |
| 1174655815 | Fulghum Durgs | Durable Medical Equipment & Medical Supplies | 34 Nw Park Ave, Baxley, GA 31513-0049 | 2007-03-09 |
| 1184657017 | Ray Ashley Dixon | Pharmacist | 34 Nw Park Ave, Baxley, GA 31513-0049 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723515 | Sarah Chapman Swinson | Pharmacist | 160 Azalea Rd, Baxley, GA 31513 | 2020-09-02 |
| 1225642705 | Briana Baxley Aycock | Pharmacist | 160 Azalea Road, Baxley, GA 31513 | 2020-09-02 |
| 1114493988 | Telehealth Resources, LLC | Family Medicine | 77 North Main Street, Suite B, Baxley, GA 31513 | 2018-10-19 |
| 1588155386 | Jessica Jade Stone Lamb | Counselor | 7092 Nails Ferry Rd, Baxley, GA 31513 | 2018-05-29 |
| 1942701248 | The Baxley Appling County Hospital Authority | Family Medicine | 40 Wildes Street, Surrencey, GA 31513 | 2018-02-22 |
| 1023530953 | Dental Center of Baxley | Dentist | 51 Walnut Street, Baxley, GA 31513 | 2017-07-12 |
| 1083024608 | Mctwynn, Inc | Assisted Living Facility | 111 Stephens Ave, Baxley, GA 31513 | 2014-05-05 |
| 1801239389 | East Georgia Healthcare Center Inc | Clinic/Center | 1636 Hatch Parkway South, Baxley, GA 31513 | 2013-04-15 |
| 1093057101 | Bryan Lanier Holmes Sr. | Counselor | 185 Middlewood Dr., Baxley, GA 31513 | 2013-03-27 |
| 1821378076 | Doctors of Compassionate Services | Family Medicine | 277 Lackawanna St, Baxley, GA 31513 | 2011-08-19 |
| Find all providers in zip 31513 | ||||
| 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 |
|---|---|---|---|---|
| 1033723515 | Sarah Chapman Swinson | Pharmacist | 160 Azalea Rd, Baxley, GA 31513 | 2020-09-02 |
| 1225642705 | Briana Baxley Aycock | Pharmacist | 160 Azalea Road, Baxley, GA 31513 | 2020-09-02 |
| 1639779465 | Allison Rowell | Pharmacist | 980 W Parker St, Baxley, GA 31513-0653 | 2020-10-30 |
| 1972017242 | Lisa Lynn Hall | Pharmacist | 117 N Main St, Baxley, GA 31513-0070 | 2017-11-25 |
| 1932275823 | Stanley N Smith | Pharmacist | 438 W Parker St, Baxley, GA 31513-0649 | 2006-11-24 |
| 1619063765 | Mark Tollison Barnes | Pharmacist | 694 S Main St, Baxley, GA 31513-0124 | 2006-10-05 |
| 1184657017 | Ray Ashley Dixon | Pharmacist | 34 Nw Park Ave, Baxley, GA 31513-0049 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1861093155 | Mohamed J Bah | Pharmacist | 2965 Olivine Dr, Dacula, GA 30019-7646 | 2020-11-04 |
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1720689219 | Olubunmi Adeniyi | Pharmacist | 524 Serene Waters Trl, Jonesboro, GA 30236-5495 | 2020-11-03 |
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1063013613 | John Ellis Iv | Pharmacist | 135 Rudders Xing, Newnan, GA 30263-7032 | 2020-11-02 |
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| 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.