Glory Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GLORY PHARMACY INC

Practice address

1462 Montreal Rd
Tucker, GA 30084-6904

Phone

(770) 934-5252

Fax

(770) 934-5959

NPI assigned

Jun 22, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Afon, MSC PHARM MBA

Title

Pharmacy MGR

Phone

(770) 934-5252

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548206931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846904",
            "telephone_number": "770-934-5252",
            "fax_number": "770-934-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AFON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHARMACY MGR",
        "authorized_official_telephone_number": "770-934-5252",
        "authorized_official_credential": "MSC PHARM MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE008996",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1153903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Jean Gignilliat, MA, CCC-SLP
• Gilmorehands, Inc
• Fredric Charles Glass, M.D.
• Paul J Glass, MD
• Global Visioncare Services Inc.
• Lacey Glover
• Claudia Maria Goicoechea, LMT
• Aurelia Leigh Goins
• Golden Heart Healthcare LLC
• Zakira Iree Golden, BCABA

• Long Term Care Pharmacy in Tucker, GA
• Providers in Tucker, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.