DR. ANDREA GLENN (NPI# 1326324732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326324732 |
| Entity Type | Individual |
| Full Name | DR. ANDREA GLENN |
| Practice Address |
5640 211th St Matteson IL 60443-1503 |
| Mailing Address |
7379 Winchester Ln Schererville IN 46375-1776 |
| Practice Telephone | 7087202036 |
| Mailing Telephone | 7085082048 |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2011-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051290366 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471226 | Andrea Louiise Glenn | Behavior Technician | 91 N Saginaw St Ste 101, Pontiac, MI 48342-2165 | 2019-08-06 |
| Street Address |
5640 211TH ST |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| 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 |
|---|---|---|---|---|
| 1881965358 | Anthony Lockridge | Pharmacist | 645 Primrose Ln, Matteson, IL 60443-1762 | 2012-01-15 |
| 1366712523 | Delphine Gwendolyn Vaughn-dudley | Pharmacist | 425 Wheatfield Rd, Matteson, IL 60443-1371 | 2012-01-05 |
| 1447529250 | Okonlawon A. Omokaye | Pharmacist | 906 Eagle Point Dr, Matteson, IL 60443-1987 | 2011-12-22 |
| 1033494679 | Sushila Patel | Pharmacist | 5640 Lincoln Hwy, Matteson, IL 60443-1503 | 2011-10-14 |
| 1528368594 | Fernando J Garcia | Pharmacist | 4233 211th St, Matteson, IL 60443-2694 | 2010-10-25 |
| 1720108392 | Jennifer E. Vargas | Pharmacist | 4233 Lincoln Hwy, Matteson, IL 60443-2403 | 2007-03-29 |
| 1518033364 | Joseph Quentin Burchett | Pharmacist | 421 Providence Dr, Matteson, IL 60443-1189 | 2006-11-24 |
| 1316373855 | Suzanne Marie Gorman | Pharmacist | 4233 211th St, Matteson, IL 60443-2694 | 2013-09-16 |
| 1033551791 | Tara Rae Lorenzi | Pharmacist | 4647 Promenade Way, Matteson, IL 60443-2981 | 2013-07-23 |
| 1992091961 | Synthia Diane Lindbloom | Pharmacist | 4647 Promenade Way, T-2263, Matteson, IL 60443-2981 | 2011-06-28 |
| Find all providers in MATTESON | ||||
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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.