GARY R GLISSON (NPI# 1033111968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033111968 |
| Entity Type | Individual |
| Full Name | GARY R GLISSON |
| Credential | R PH |
| Practice Address |
117 W Church St Nashville NC 27856-1327 |
| Mailing Address |
Po Box 400 Nashville NC 27856-0400 |
| Practice Telephone | 2524592135 |
| Practice Fax Number | 2524599300 |
| Mailing Telephone | 2524592135 |
| Mailing Fax Number | 2524599300 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2009-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7023 | NC | Pharmacy Service Providers |
| N | 211D00000X | Assistant, Podiatric | 20733 | NC | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 20733 | NC | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 20733 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCP-BOARD OF CERTIFICATION IN PEDORTHICS | 20733 | 01 |
| NC | 7795227 | 05 |
| Street Address |
117 W CHURCH ST |
| City | NASHVILLE |
| State | NC |
| Zip Code | 27856-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508293192 | Nashville Wellness Clinic & Medi-spa Pa | Family Medicine | 117 W Church St, Nashville, NC 27856-1327 | 2013-09-27 |
| 1295924561 | Robert Godwin | Pharmacist | 117 W Church St, Nashville, NC 27856-1327 | 2007-10-23 |
| 1659560340 | Barbara Adams Overman | Pharmacist | 117 W Church St, Nashville, NC 27856-1327 | 2007-10-17 |
| 1134234172 | Ward Drug Company of Nashville Inc | Pharmacy | 117 W Church St, Nashville, NC 27856-1327 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962751 | John Eaton | Technician | 762 Harare Lane, Nashville, NC 27856 | 2019-10-04 |
| 1073037735 | Ashley Hicks | Licensed Practical Nurse | 5972 Haywood Dr, Rocky Mount, NC 27856 | 2017-08-03 |
| 1538263173 | Progressive Rehab, Inc. | Clinic/Center | 143 Nashville Commons Drive, Nashville, NC 27856 | 2006-09-12 |
| 1174543730 | Jaclyn S Qualter | Nurse Practitioner | 120 W Washington Street, Nashville, NC 27856 | 2006-07-19 |
| 1699219311 | Sheryl Umstead | Counselor | 884 Robbins Lane, Nashville, NC 27856-0603 | 2016-12-14 |
| 1013043751 | Nash County Health Department | Clinical Medical Laboratory | 214 S Barnes St, Box 849, Nashville, NC 27856-0849 | 2007-02-26 |
| 1689954901 | By Faith Home Care Services, Inc | Home Health | 501 Western Ave, Nashville, NC 27856-1123 | 2011-08-17 |
| 1497880033 | County of Nash | Clinic/Center | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-02-23 |
| 1013218395 | Rebecca I Wilkins | Dietitian, Registered | 214 S Barnes St, Nashville, NC 27856-1204 | 2010-11-03 |
| 1043423544 | Lori B. Taylor | Registered Nurse | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-05-08 |
| Find all providers in zip 27856 | ||||
| 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 |
|---|---|---|---|---|
| 1306447628 | Daniel Lasselle | Pharmacist | 3133 Boulder Park Dr, Nashville, TN 37214-3821 | 2020-11-03 |
| 1669089041 | Victor Ikechukwu Emmanuel | Pharmacist | 107 Charles E Davis Blvd # 2745, Nashville, TN 37210-2745 | 2020-09-29 |
| 1093320285 | Joanna J Porter | Pharmacist | 4021 Meadow Hill Dr, Nashville, TN 37218-1728 | 2020-09-14 |
| 1316557895 | Bailey Kathleen Caudill | Pharmacist | 7604 Hwy 70 S, Nashville, TN 37221-1852 | 2020-08-09 |
| 1558979054 | Jason Schuster | Pharmacist | 1301 Medical Center Dr Ste 1815, Nashville, TN 37232-0028 | 2020-07-21 |
| 1467079111 | Jennifer Rose Shin | Pharmacist | 15588 Old Hickory Blvd, Nashville, TN 37211 | 2020-06-29 |
| 1205457561 | Alec Harrison Sain | Pharmacist | 1732 Lebanon Pike Cir, Nashville, TN 37210-3216 | 2020-04-28 |
| 1427678184 | Kathleen Margaret Larson Rogers | Pharmacist | 117 New Haven Ct, Nashville, TN 37214-3987 | 2020-04-23 |
| 1528687712 | Heang Henry Lim | Pharmacist | 3401 W End Ave Ste 630, Nashville, TN 37203-6891 | 2020-04-08 |
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| Find all providers in NASHVILLE | ||||
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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.