Active NPI
Glenn Eiji Namura
- Pharmacist
- Bullhead City, AZ
National Provider Identifier
1487955613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14740
- Practice address
- 1751 Highway 95
Bullhead City, AZ 86442-6902 - Phone
- (928) 763-1888
- NPI assigned
- Nov 4, 2010
- Last updated
- Nov 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 14740 | AZ | Primary |
Addresses
Primary practice location
1751 Highway 95
Bullhead City, AZ 86442-6902
Mailing address
3743 Westcliff
Laughlin, NV 89028
Phone (702) 299-9393
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 |
|---|---|---|---|
| 14740 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1487955613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3743 WESTCLIFF",
"city": "LAUGHLIN",
"state": "NV",
"postal_code": "89028",
"telephone_number": "702-299-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 HIGHWAY 95",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864426902",
"telephone_number": "928-763-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMURA",
"first_name": "GLENN",
"middle_name": "EIJI",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "14740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
- Madeline Marie Mulligan
- Vasantha Munoz
- Mustard Seeds Therapies Az LLC
- Amanda Myers, LDO
- Bhavani Naginani, MD
- Christopher Cory Napton, EDUCATION SPECIALIST
- Rogelio D. Naranja
- Nationwide Optometry P.C. (Nationwide Vision)
- Nayef T. Resk MD Inc. (Sunrise Internal Medicine)
- Muhammad Abu-Saleh Nayer, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.