MR. GLENN RICHARD DAVIS (NPI# 1639353113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639353113 |
| Entity Type | Individual |
| Full Name | MR. GLENN RICHARD DAVIS |
| Practice Address |
985 Ridge Rd Webster NY 14580-2905 |
| Practice Telephone | 5858721380 |
| Mailing Telephone | 5858721380 |
| Mailing Fax Number | 5858721398 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2010-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33747 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02519359 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962923029 | Glenn Samuel Davis | Counselor | 8 Birchwood Ter, Groveland, MA 01834-1606 | 2017-06-29 |
| 1770913642 | Glenn Davis | Licensed Vocational Nurse | 95-270 Waikalani Dr, Apt B104, Mililani, HI 96789-3527 | 2013-11-13 |
| 1083724512 | Glenn Davis | Ophthalmology | 1510 Bob White Blvd, Pulaski, VA 24301-4406 | 2006-08-30 |
| 1114934817 | Glenn Wood Davis | Marriage & Family Therapist | 43535 17th St West, #304, Lancaster, CA 93534 | 2006-08-02 |
| 1437198017 | Glenn Davis | Dentist | 3703 N Kickapoo Ave, Shawnee, OK 74804-1703 | 2006-06-06 |
| 1740275858 | Glenn Alan Davis | Internal Medicine | 385 Rte 24, Ste 1c, Chester, NJ 07930-2918 | 2005-09-14 |
| 1497757298 | Glenn Alan Davis | Family Medicine | 1020 Mcarthur St, Manchester, TN 37355-2453 | 2005-08-11 |
| 1144229212 | Glenn R Davis | Pharmacist | 632 Slate Ave, Owingsville, KY 40360-2206 | 2005-07-20 |
| 1851396154 | Glenn Bryan Davis | Family Medicine | 2447 Bedford St, Suite 105, Johnstown, PA 15904-1405 | 2005-06-15 |
| 1841601309 | Glenn Davis | Counselor | 662 Grant St, Denver, CO 80203-3507 | 2014-05-17 |
| Street Address |
985 RIDGE RD |
| City | WEBSTER |
| State | NY |
| Zip Code | 14580-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795303 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 985 Ridge Rd, Webster, NY 14580 | 2017-08-03 |
| 1407166861 | Vidya Rangaraj Hebbar | Pharmacist | 985 Ridge Rd, Webster, NY 14580-2905 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755069 | John Denaro Iv | Hearing Instrument Specialist | 1900 Empire Boulevard, Miracle Ear, Webster, NY 14580 | 2020-03-23 |
| 1740813161 | National Vision Inc | Optometrist | 927 Hold Road, Suite 300, Webster, NY 14580 | 2020-02-13 |
| 1447808738 | Neva French | Technician | 1640 Lake Road, Webster, NY 14580 | 2019-08-29 |
| 1699329946 | Jillian Schifano Sweeney | Registered Nurse | 119 South Ave, Wcsd, Webster, NY 14580 | 2019-07-25 |
| 1699232355 | Kw Health System, Inc. | Clinic/Center | 53 Salori Court, Temporary Location, Webster, NY 14580 | 2019-02-28 |
| 1174090393 | Brent William Fairchild | Physician Assistant | 1081 Bright Stream Way, Webster, NY 14580 | 2018-10-25 |
| 1114435500 | Vanisha Mcbean | Licensed Practical Nurse | 164 Country Manor Way Apt 22, Webster, NY 14580 | 2018-01-19 |
| 1235658204 | Amarilis Perez | Licensed Practical Nurse | 15 Huntsman Way, Webster, NY 14580 | 2017-09-11 |
| 1710425178 | Michelle Malle Michlin | Licensed Practical Nurse | 1095 Fawnwood Drive, Webster, NY 14580 | 2017-02-06 |
| 1851743900 | Linda A Harris | Social Worker | 63 Daytona Ave, Webster, NY 14580 | 2016-07-12 |
| Find all providers in zip 14580 | ||||
| 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 |
|---|---|---|---|---|
| 1154971372 | Chelsea Nguyen | Pharmacist | 1310 Jasmine Ave, Webster, TX 77598-3402 | 2019-09-19 |
| 1154975027 | Emily Marie Hart | Pharmacist | 1221 Stockbridge Rd, Webster, NY 14580-9145 | 2019-07-30 |
| 1033779681 | Kevin Gress | Pharmacist | 251 W Medical Center Blvd Ste 100, Webster, TX 77598-4242 | 2019-06-17 |
| 1003327164 | Danielle Johnson | Pharmacist | 1236 Majestic Way, Webster, NY 14580-9538 | 2017-10-17 |
| 1609320183 | Jameela Fatima Khaja | Pharmacist | 434 Buoy Rd, Webster, TX 77598-2524 | 2016-08-12 |
| 1427431063 | Kristie Blanchette | Pharmacist | 1 Henry St, Webster, MA 01570-3525 | 2015-07-01 |
| 1699106203 | Daniel Safee | Pharmacist | 1139 Shoecraft Rd, Webster, NY 14580-8535 | 2013-12-06 |
| 1790023638 | Erin Jannetta | Pharmacist | 221 Basket Rd, Webster, NY 14580-9753 | 2013-01-28 |
| 1932470499 | Kerri Rottingen | Pharmacist | 60 Barrett Dr Ste 300, Webster, NY 14580-2987 | 2012-01-14 |
| 1649579442 | Geeta Acharya | Pharmacist | 60 Barrett Drive, A&j Pharmacy, Webster, NY 14580-2963 | 2011-03-18 |
| Find all providers in WEBSTER | ||||
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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.