DR. KATHY A GLEM (NPI# 1346889383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346889383 |
| Entity Type | Individual |
| Full Name | DR. KATHY A GLEM |
| Credential | PHARMD |
| Practice Address |
800 E Dawson St Tyler TX 75701-2036 |
| Mailing Address |
18865 Spanish Oak Ct Flint TX 75762-3430 |
| Practice Telephone | 9036067437 |
| Mailing Telephone | 2068541843 |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2019-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH60330656 | WA | Pharmacy Service Providers |
| Y | 1835C0205X |
Pharmacist Specialization: Critical Care |
53400 | TX | Pharmacy Service Providers |
| Street Address |
800 E DAWSON ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051705 | Mohammad K Khedr | Internal Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2005-05-31 |
| 1174130462 | Jessica Lemoine Phillips | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-30 |
| 1275148116 | Erika Anne Heffner | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-08 |
| 1750995684 | Christine Vo | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-08 |
| 1366051526 | Bessie Burchfield | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-07-23 |
| 1952929366 | Amy Elizabeth Enlow | Registered Nurse | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-07-13 |
| 1033739388 | Eric Bradley Vogt | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-04-16 |
| 1780212084 | Carolyn Victoria Hamilton | Registered Nurse | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-03-31 |
| 1548800022 | Jasmine Azghani Vardeman | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-01-13 |
| 1861037590 | Hospitalist Medicine Physicians of Texas - Tyler, Pllc | Internal Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 1835C0205X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Critical Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252110 | Jacob Gomez | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2020-10-14 |
| 1538778931 | Caroline Elizabeth Conner | Pharmacist | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-07-31 |
| 1629698030 | Diane Dreucean | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2020-04-26 |
| 1447870209 | Annette Delovino Lista | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2020-04-22 |
| 1659907517 | Marian Gaviola | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-03-22 |
| 1114573870 | Christina Tran | Pharmacist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2019-08-16 |
| 1003349747 | Moses Musoke | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2017-04-10 |
| 1528516523 | Kaitlin Ann Pruskowski | Pharmacist | 3698 Chambers Pass, Jbsa Ft Sam Houston, TX 78234-7766 | 2016-09-19 |
| 1770039596 | Heidi Michaels | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2016-08-31 |
| 1861948689 | Olga Shvarts | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2016-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KATHY A GLEM.
| 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.