GLENNA KATRINA HAGAN (NPI# 1609413202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609413202 |
| Entity Type | Individual |
| Full Name | GLENNA KATRINA HAGAN |
| Credential | PHARM.D. |
| Practice Address |
603 S 4th St Chillicothe IL 61523-2267 |
| Mailing Address |
3327 W King James Rd Peoria IL 61615-2589 |
| Practice Telephone | 3092746419 |
| Practice Fax Number | 3092742506 |
| Mailing Telephone | 3099229541 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.290593 | IL | Pharmacy Service Providers |
| Street Address |
603 S 4TH ST |
| City | CHILLICOTHE |
| State | IL |
| Zip Code | 61523-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396848065 | Highland Park Cvs, L.L.C. | Pharmacy | 603 S 4th St, Chillicothe, IL 61523-2267 | 2006-09-07 |
| 1104462282 | Jane Margaret Johnson | Pharmacist | 603 S 4th St, Chillicothe, IL 61523-2267 | 2019-11-22 |
| 1780757302 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 603 S 4th St, Chillicothe, IL 61523-2267 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447429238 | T. J. Freund Dds, P.C. | Dentist | 1008 N. 4th St., Chillicothe, IL 61523 | 2008-02-26 |
| 1538205406 | Maureen J Sylvester | Physical Therapist | 525 Sweetbriar, Suite C, Chillicothe, IL 61523 | 2007-01-29 |
| 1821152455 | Carlos Juan Roa | Dentist | 607 South Fourth Street, Suite B, Chillicothe, IL 61523 | 2006-12-20 |
| 1295898047 | Denise A Amundson | Chiropractor | 723 N Second St, Chillicothe, IL 61523 | 2006-12-19 |
| 1336156611 | Azizur Rehman | Family Medicine | 525 Sweetbriar Drive, Chillicothe, IL 61523 | 2006-08-01 |
| 1255351276 | Kenneth Adams | Physician Assistant | 525 Sweetbriar Dr, Chillicothe, IL 61523 | 2006-07-20 |
| 1326366790 | Methodist Medical Center of Illinois | Clinic/Center | 525 S Sweetbriar Dr, Chillicothe, IL 61523 | 2010-05-11 |
| 1902818727 | Mannerings Family Pharmacy | Pharmacist | 525 Sweetbriar Drive, Chillicothe, IL 61523 | 2006-08-12 |
| 1467469759 | Ted Rogers | Family Medicine | 525 Sweetbriar Drive, Chillicothe, IL 61523 | 2006-08-01 |
| 1689876153 | Illinois Valley Central Unit District No 321 | Local Education Agency (LEA) | 1300 W Sycamore St, Chillicothe, IL 61523-1373 | 2007-06-05 |
| Find all providers in zip 61523 | ||||
| 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 |
|---|---|---|---|---|
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1629426887 | Amber Ballard | Pharmacist | 404 S Washington St, Chillicothe, MO 64601-3036 | 2016-05-28 |
| 1588069272 | Jaye Thompson | Pharmacist | 17273 State Route 104 Bldg 31, Chillicothe, OH 45601-9718 | 2014-10-24 |
| 1629325113 | Eric Douglas Vogelsong | Pharmacist | 850 North Bridge Street, Chillicothe, OH 45601 | 2012-08-14 |
| 1164779914 | Leigh Yates | Pharmacist | 1470 N Bridge St, Chillicothe, OH 45601-4101 | 2012-08-11 |
| 1821380445 | Charles D Lusher | Pharmacist | 344 Piatt Ave, Chillicothe, OH 45601-1515 | 2011-05-15 |
| 1679890032 | Amy Lynn Berry | Pharmacist | 917 Washington St, Chillicothe, MO 64601-2233 | 2010-04-26 |
| 1619299021 | Stanley L Dolinger | Pharmacist | 1470 N Bridge St., Chillicothe, OH 45601-4101 | 2010-02-26 |
| 1851421770 | Brenda Jean Jones | Pharmacist | 20920 N Sequoia Cv, Chillicothe, IL 61523-9328 | 2007-03-07 |
| Find all providers in CHILLICOTHE | ||||
| City | CHILLICOTHE |
| Zip Code | 61523 |
Please comment or provide details below to improve the information on GLENNA KATRINA HAGAN.
| 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.