Active NPI
Glenn Ellsworth Conway Jr., RPH.
- Pharmacist
- Eugene, OR
National Provider Identifier
1427241900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH0009772
- Practice address
- 28717 Grumman Dr
Eugene, OR 97402-9542 - Phone
- (541) 607-2000
- Fax
- (541) 607-2003
- NPI assigned
- Aug 20, 2007
- 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 | RPH0009772 | OR | Primary |
Addresses
Primary practice location
28717 Grumman Dr
Eugene, OR 97402-9542
Mailing address
28717 Grumman Dr
Eugene, OR 97402-9542
Phone (541) 607-2000
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH0009772 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1427241900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28717 GRUMMAN DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974029542",
"telephone_number": "541-607-2000",
"fax_number": "541-607-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28717 GRUMMAN DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974029542",
"telephone_number": "541-607-2000",
"fax_number": "541-607-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "GLENN",
"middle_name": "ELLSWORTH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0009772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.