GLENN DANIEL ROBERTS (NPI# 1891829677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891829677 |
| Entity Type | Individual |
| Full Name | GLENN DANIEL ROBERTS |
| Credential | RPH |
| Practice Address |
112 Mercer St Tchula MS 39169 |
| Mailing Address |
Po Box 217 Tchula MS 39169-0217 |
| Practice Telephone | 6622354422 |
| Mailing Telephone | 6622354422 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-07015 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508849852 | Glenn A Roberts | Family Medicine | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2005-11-21 |
| Street Address |
112 MERCER ST |
| City | TCHULA |
| State | MS |
| Zip Code | 39169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457842585 | Heaven Sent Foot Healthcare, Plcc | Nursing Care | 160 Cypress Street, Tchula, MS 39169 | 2018-05-24 |
| 1417208422 | Doris Alexander | Adult Companion | 978 Main Street, Tchula, MS 39169 | 2012-10-01 |
| 1205104387 | Dealice Nikita Young | Registered Nurse | 160 Cypress St, Tchula, MS 39169 | 2011-12-05 |
| 1992946263 | The Myers Foundation Christian Family Health Centers | Specialist | 15548 Hwy. 49 East, Suite A, Tchula, MS 39169 | 2009-03-17 |
| 1447434642 | Thomas Ross | Audiologist | 605 Poplar St, Tchula, MS 39169 | 2007-12-24 |
| 1306038567 | Thomas Ross | Audiologist | 605 Poplar St., Tchula, MS 39169 | 2007-08-13 |
| 1881713519 | Mallory Community Health | Clinic/Center | 9715 Highway 12 W, Tchula, MS 39169 | 2007-03-27 |
| 1013053842 | Gdr, Inc | Pharmacy | 112 Mercer Street, Tchula, MS 39169 | 2007-01-29 |
| 1821099482 | Rhonda Givens-boles | Nurse Practitioner | 110 Mercer Street, Tchula, MS 39169 | 2005-08-04 |
| 1487835567 | Candice Smith | Social Worker | 16067 M. L. K. Dr., Tchula, MS 39169-0518 | 2007-11-17 |
| Find all providers in zip 39169 | ||||
| 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 |
|---|---|---|---|---|
| 1366043192 | Craig Stephen Andreas Jr. | Pharmacist | 2230 Thousand Oaks Dr, Hernando, MS 38632-6622 | 2020-11-06 |
| 1285235333 | Ann Elizabeth Sutherland | Pharmacist | 9038 Coatbridge Dr, Oxford, MS 38655-7396 | 2020-11-05 |
| 1700487907 | Nancy Heyer Miles | Pharmacist | 5509 Highway 45 Alt S, West Point, MS 39773-0413 | 2020-11-04 |
| 1124628102 | Betsy Wicker Lindsey | Pharmacist | 1608 Smithdale Rd, Mccomb, MS 39648-2064 | 2020-10-28 |
| 1174123566 | Lisa Kincaid Odom | Pharmacist | 218 Woodland Hills Dr, Oxford, MS 38655-9770 | 2020-10-27 |
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1225637424 | Milagros H. Walker | Pharmacist | 2119 Lindhridge Dr, Gulfport, MS 39507-3765 | 2020-10-20 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1063023950 | Rianne Marie Jones | Pharmacist | 10252 Woodlands Dr, Biloxi, MS 39532-9518 | 2020-08-13 |
| 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.