Active NPI
Glenda Faye Parks, GLENDA PARKS
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1104132612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3517
- Practice address
- 7354 E Brainerd Rd
Chattanooga, TN 37421-3842 - Phone
- (423) 899-2076
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3517 | TN | Primary |
Addresses
Primary practice location
7354 E Brainerd Rd
Chattanooga, TN 37421-3842
Mailing address
6415 Waconda Point Rd
Harrison, TN 37341-9580
Phone (423) 344-6068
Other names 1
- Mrs. Glenda Parks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3517 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1104132612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 WACONDA POINT RD",
"city": "HARRISON",
"state": "TN",
"postal_code": "373419580",
"telephone_number": "423-344-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7354 E BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213842",
"telephone_number": "423-899-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "GLENDA",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"credential": "GLENDA PARKS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "3517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLENDA",
"last_name": "PARKS",
"prefix": "MRS.",
"credential": "GLENDA PARKS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.