GLORY PHARMACY INC (NPI# 1548206931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548206931 |
| Entity Type | Organization |
| Organization Name | GLORY PHARMACY INC |
| Practice Address |
1462 Montreal Rd Tucker GA 30084-6904 |
| Practice Telephone | 7709345252 |
| Practice Fax Number | 7709345959 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TIMOTHY AFON (PHARMACY MGR) |
| Authorized Official Telephone | 7709345252 |
| Authorized Official Credential | MSC PHARM MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | PHRE008996 | GA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1153903 | 01 |
| Street Address |
1462 MONTREAL RD |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-6904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711093 | William C Tippins Jr. | Obstetrics & Gynecology | 1462 Montreal Rd, Suite 412, Tucker, GA 30084-6929 | 2005-09-26 |
| 1891243960 | Metro Community Healthcare LLC | Nurse Practitioner | 1462 Montreal Rd, Suite 418, Tucker, GA 30084-6932 | 2016-09-16 |
| 1093109795 | Medical Associates of Georgia | Internal Medicine | 1462 Montreal Rd, 307, Tucker, GA 30084-6929 | 2015-03-20 |
| 1205229192 | Advanced Orthopedic Surgery Center LLC | Clinic/Center | 1462 Montreal Rd, Suite 109, Tucker, GA 30084-6929 | 2015-03-17 |
| 1396085106 | Charlene Ann Morgan | Pharmacy Technician | 1462 Montreal Rd, Tucker, GA 30084 | 2013-02-15 |
| 1033458906 | Mark Monterola | Pharmacy Technician | 1462 Montreal Rd, Tucker, GA 30084-6929 | 2013-02-12 |
| 1477897288 | Amy Suzanne Duggan | Pharmacist | 1462 Montreal Rd, Tucker, GA 30084-6929 | 2012-11-16 |
| 1275809527 | Una Pharmacy Corporation | Pharmacy | 1462 Montreal Rd, Suite 101, Tucker, GA 30084-6929 | 2012-03-30 |
| 1316223514 | Una Pharmacy | Pharmacy | 1462 Montreal Rd, Ste 101, Tucker, GA 30084-6929 | 2011-11-01 |
| 1275840068 | Tucker Family Practice, L.L.C. | Family Medicine | 1462 Montreal Rd, Suite 307, Tucker, GA 30084-6929 | 2010-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| 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 |
|---|---|---|---|---|
| 1851420632 | Carrs Pharmacy Inc | Pharmacy | 2340 Main St, Tucker, GA 30084-4413 | 2007-03-05 |
| 1205872686 | Kaiser Permanente Internal | Pharmacy | 200 Cres Ctr Pkwy, Tucker, GA 30084-7047 | 2006-06-22 |
| 1316223514 | Una Pharmacy | Pharmacy | 1462 Montreal Rd, Ste 101, Tucker, GA 30084-6929 | 2011-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| 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.