Glendale Pharmacy, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0201002006 Issued in VA

Legal business name

GLENDALE PHARMACY, LLC

Practice address

12444 Warwick Blvd
Newport News, VA 23606-3042

Phone

(757) 595-3355

Fax

(757) 596-1863

NPI assigned

Mar 3, 2008

Last updated

Mar 7, 2022By 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

Mr. Armya R Marae, RPHNPI 1235721309

Title

Pharmacist/Owner

Phone

(757) 595-3355

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Tax ID family

Glendale Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glendale Pharmacy, LLC

  • Long Term Care Pharmacy
  • Newport News, VA
  • NPI 1811646805
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Armya R Marae

  • Pharmacist
  • Newport News, VA
  • NPI 1235721309
  NPD Authorized official
• Liliane Lamey Beshay Henna

  • Pharmacist
  • Newport News, VA
  • NPI 1184216434
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1669642922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063042",
            "telephone_number": "757-595-3355",
            "fax_number": "757-596-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063042",
            "telephone_number": "757-595-3355",
            "fax_number": "757-596-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "MARAE",
        "authorized_official_first_name": "ARMYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "757-595-3355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201002006",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002006",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201002006",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "VA",
            "license": "0201002006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008514305",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7731440001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009123610",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Giordano, OTR/L
• Sarah J Giuliani
• Curtis Delp Givens Jr., M.D.
• Glad Care Transport LLC
• Rebecca E. Glass, LPC, LMFT
• Glendale Pharmacy, LLC
• Global Counseling Services LLC
• Surena Glover
• Jeffrey B Gluckman, MD
• Kyndall Godard, PHARMD

• Durable Medical Equipment & Medical Supplies in Newport News, VA
• Providers in Newport News, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.