Active NPI
Michael Andrew McGlynn, PHARM.D.
- Pharmacist
- Brookhaven, PA
National Provider Identifier
1306399399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP450612
- Practice address
- 4930 Edgmont Ave
Brookhaven, PA 19015 - Phone
- (610) 358-9725
- NPI assigned
- Jul 26, 2016
- Last updated
- Aug 22, 2018
- Sex
- Male
- 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 | RP450612 | PA | Primary |
Addresses
Primary practice location
4930 Edgmont Ave
Brookhaven, PA 19015
Mailing address
4930 Edgmont Ave
Brookhaven, PA 19015-1201
Phone (610) 245-2155
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP450612 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Giant Company, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1306399399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151201",
"telephone_number": "610-245-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "19015",
"telephone_number": "610-358-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLYNN",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-26",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP450612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, PA
- Desirae Christine Lyons
- Steven Maiers
- Nicholas McAndrew, PHARMD
- Brett McCombs, PTA
- Sean McDade, PHARMD
- Medexpress Urgent Care, PC - Pennsylvania (MedExpress Urgent Care - Brookhaven, Edgmont Ave)
- Media Dental Care (A-Plusdental Care)
- Mep RX, LLC (Elwyn Pharmacy)
- Merakey Delaware County
- Mercury Podiatry, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.