Active NPI
Terralee Glenn
- Pharmacist
- North Muskegon, MI
National Provider Identifier
1629345244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302021198
- Practice address
- 1771 Holton Rd
North Muskegon, MI 49445-1452 - Phone
- (231) 744-1391
- NPI assigned
- Nov 28, 2011
- Last updated
- Nov 28, 2011
- Sex
- Female
- 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 | 5302021198 | MI | Primary |
Addresses
Primary practice location
1771 Holton Rd
North Muskegon, MI 49445-1452
Mailing address
6359 Marvin Rd
Holton, MI 49425-9535
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 |
|---|---|---|---|
| 5302021198 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1629345244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6359 MARVIN RD",
"city": "HOLTON",
"state": "MI",
"postal_code": "494259535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 HOLTON RD",
"city": "NORTH MUSKEGON",
"state": "MI",
"postal_code": "494451452",
"telephone_number": "231-744-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "TERRALEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302021198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Muskegon, MI
- Teresa Demeter, LLPC
- Earth Body Soul Wellness LLC
- Brian Thomas Fosse, DDS
- Noelle K Franklyn, MD
- Susan Renee Gerstweiler, LMSW
- Great Lakes Physical Therapies
- Great Lakes Physical Therapy-North Muskegon, LLC
- Hackley Professional Pharmacy Inc (Mercy Health Pharmacy - North Muskegon)
- Mary Jane Hardy
- Leslie Hollman, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.