GLENN JOE (NPI# 1871194977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871194977 |
| Entity Type | Individual |
| Full Name | GLENN JOE |
| Practice Address |
633 Highway 82 W Indianola MS 38751-2078 |
| Practice Telephone | 6628873788 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-08473 | MS | Pharmacy Service Providers |
| Street Address |
633 HIGHWAY 82 W |
| City | INDIANOLA |
| State | MS |
| Zip Code | 38751-2078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700803111 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 633 Highway 82 W, Indianola, MS 38751-2078 | 2006-07-16 |
| 1265033120 | Fallon Mumford | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-11-05 |
| 1033710363 | Steven Alan Mckay | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-11-03 |
| 1972103455 | Deedra Brackeen Fontana | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-10-26 |
| 1346325255 | Wal-mart Stores East, Lp | Technician/Technologist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781253 | Greater Hearts Adult Daycare | Clinic/Center | 124 Curtis Street, Indianola, MS 38751 | 2017-10-23 |
| 1083139505 | Quality Family Care LLC | Nurse Practitioner | 310 Hwy 82 West, Suite D, Indianola, MS 38751 | 2017-08-05 |
| 1932641800 | Creative Image Personal Care Services LLC | Respite Care | 503 Hwy 82 East, Indianola, MS 38751 | 2016-11-09 |
| 1225580442 | St. John's Respite Care Services, LLC | In Home Supportive Care | 517 East Street, Indianola, MS 38751 | 2016-11-04 |
| 1992163588 | Rona Kaye Huey | Nurse Practitioner | 310 Highway 82 W Ste D, Indianola, MS 38751 | 2016-02-10 |
| 1952641201 | Julia R. Hill, Dmd, Pa | Dentist | 104 W. Gresham St., Indianola, MS 38751 | 2013-02-25 |
| 1649463977 | Kenneth C Beal Jr. | Dentist | 913 B.b. King Road, Indianola, MS 38751 | 2007-08-21 |
| 1922136688 | Lloyd Leon Patton Jr. | Pharmacist | 903 Highway 82 East, Building G, Indianola, MS 38751 | 2007-03-02 |
| 1770623506 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 110 East Baker Street, Indianola, MS 38751 | 2007-02-08 |
| 1548311525 | Quality In Home Services Inc | Homemaker | 108 Martin Luther King, Indianola, MS 38751 | 2007-01-16 |
| Find all providers in zip 38751 | ||||
| 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 |
|---|---|---|---|---|
| 1366916959 | Donna Louise Turman | Pharmacist | Magic Mart Pharmacy, 903 Highway 82 E Bldg G, Indianola, MS 38751-2325 | 2019-01-16 |
| 1962929745 | John William Downs Jr. | Pharmacist | 204 Highway 82 W, Indianola, MS 38751-2133 | 2017-08-23 |
| 1831407816 | Raymond Woo | Pharmacist | 624 W Gresham St, Indianola, MS 38751-2048 | 2010-09-23 |
| 1922136688 | Lloyd Leon Patton Jr. | Pharmacist | 903 Highway 82 East, Building G, Indianola, MS 38751 | 2007-03-02 |
| 1386681369 | Pharm Services Inc. | Pharmacist | 1510 Highway 82 E, Indianola, MS 38751-2339 | 2006-05-31 |
| 1265033120 | Fallon Mumford | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-11-05 |
| 1033710363 | Steven Alan Mckay | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-11-03 |
| 1972103455 | Deedra Brackeen Fontana | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-10-26 |
| 1891311155 | Cassidy Rae Graham | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2020-06-23 |
| 1053940528 | Alisha Jo Helbing | Pharmacist | 1500 N Jefferson Way, Indianola, IA 50125-1489 | 2020-04-06 |
| Find all providers in INDIANOLA | ||||
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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.