Louis Jason Glumac
Individual provider Active NPI Pharmacist · Monaca, PA
NPI 1225638604 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1225638604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP439249 (PA)
- Practice address
- 3942 Brodhead Rd
Monaca, PA 15061-2480 - Phone
- (724) 773-0240
- Fax
- (724) 773-0242
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP439249 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP439249 | PA | Yes |
Addresses
Primary practice location
3942 Brodhead Rd
Monaca, PA 15061-2480
Mailing address
3942 Brodhead Rd
Monaca, PA 15061-2480
Phone (724) 773-0240
Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.