MR. GLENN C MARCUM (NPI# 1619123510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619123510 |
Entity Type | Individual |
Full Name | MR. GLENN C MARCUM |
Credential | R.PH. |
Practice Address |
130 W Loudon Ave Lexington KY 40508-1412 |
Practice Telephone | 8592819660 |
Practice Fax Number | 8592816627 |
Mailing Telephone | 8592819660 |
Mailing Fax Number | 8592816627 |
Enumeration Date | 2008-08-11 |
Last Update Date | 2008-08-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
6981 | KY | Pharmacy Service Providers |
Street Address |
130 W LOUDON AVE |
City | LEXINGTON |
State | KY |
Zip Code | 40508-1412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053834184 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 130 W Loudon Ave, Lexington, KY 40508-1412 | 2017-07-20 |
1659821817 | Aleah Michelle Arnold | Pharmacist | 130 W Loudon Ave, Lexington, KY 40508-1412 | 2016-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
1831669720 | Lily Namegabe | Community Health Worker | 135 Newtown Pike Bldg 1, Lexington, KY 40508 | 2018-12-04 |
1669994091 | Shawn Luchtefeld | Counselor | 289 W Loudon Ave, Lexington, KY 40508 | 2017-07-07 |
1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
1881012946 | Peter Movilla | Obstetrics & Gynecology | Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 | 2014-04-04 |
1255753422 | Candace Cross | Social Worker | Kentucky Counseling Center, LLC, 1353 West Main Street, Kentucky, Lexington, KY 40508 | 2014-01-07 |
1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
1104119890 | Thomas Michael Isaacs | Pharmacist | 130 W. Loudon Ave, Lexington, KY 40508 | 2011-05-27 |
1174839401 | Gerardo Manuel Heredia Melero | Obstetrics & Gynecology | Uk Obgyn, 125 E. Maxwell Street, Lexington, KY 40508 | 2010-08-24 |
1558512814 | Cortney Youens Lee | Surgery | 125 E. Maxwell St, Suite 302, Lexington, KY 40508 | 2008-10-06 |
Find all providers in zip 40508 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790397081 | Ryan Babb | Pharmacist | 740 S Limestone J-134, Lexington, KY 40536-0001 | 2020-08-19 |
1255956405 | Alka Herald | Pharmacist | 1417 Glenview Dr, Lexington, KY 40514-2209 | 2020-06-13 |
1134743248 | Donna Rene Burgess | Pharmacist | Uk Bluegrass Care Clinic 740 S Limestone L504, Lexington, KY 40536-0001 | 2020-06-04 |
1134696511 | Niki Koirala | Pharmacist | 800 Rose St Pavilion Ha, Lexington, KY 40536-0001 | 2018-10-24 |
1982107348 | Gavin Taylor Howington | Pharmacist | 1000 South Limestone St Pharmacy Services, Lexington, KY 40536-0001 | 2018-03-13 |
1205211737 | Maribeth Wright | Pharmacist | 740 S Limestone K135, Lexington, KY 40536 | 2015-07-27 |
1336532571 | Aimee Adams | Pharmacist | Img University Health Services, 830 South Limestone Suite 304, Lexington, KY 40536-0582 | 2015-03-12 |
1144635251 | Keaton Smetana | Pharmacist | 800 Rose St Rm H110, Lexington, KY 40536-0001 | 2014-06-26 |
1053734483 | Tracy Macaulay | Pharmacist | 900 S Limestone Rd, Ctw 320d, Lexington, KY 40536-0001 | 2014-01-21 |
1023617891 | Kristen Roberts | Pharmacist | 704 Euclid Ave, Lexington, KY 40502-1740 | 2020-10-22 |
Find all providers in LEXINGTON |
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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.