Glade Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLADE PHARMACY LLC

Practice address

33472 Lee Hwy
Glade Spring, VA 24340-5100

Phone

(276) 429-2004

Fax

(276) 429-2009

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Taylor, PHARM DNPI 1528792108

Title

Pic

Phone

(276) 429-2004

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• GLADE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Glade Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Glade LTC, LLC

  • Long Term Care Pharmacy
  • Abingdon, VA
  • NPI 1760974547
  NPD tax ID
• Glade Pharmacy LLC

  • Pharmacist
  • Glade Spring, VA
  • NPI 1053130062
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Glade Pharmacy LLC

  • Pharmacist
  • Glade Spring, VA
  • NPI 1053130062
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Scott Taylor, PHARM.D.

  • Pharmacist
  • Glade Spring, VA
  • NPI 1528792108
  NPD Authorized official
• Paige Bush, PHARM D

  • Pharmacist
  • Glade Spring, VA
  • NPI 1821847997
  NPD
• Seth Jennings, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Glade Spring, VA
  • NPI 1396594438
  NPD

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1669656179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33472 LEE HWY",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243405100",
            "telephone_number": "276-429-2004",
            "fax_number": "276-429-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33472 LEE HWY",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243405100",
            "telephone_number": "276-429-2004",
            "fax_number": "276-429-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2025-09-19",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "276-429-2004",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4489",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166965617A",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLADE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Bush, PHARM D
• Betsy Lou Call
• Family Preservation Services, Inc
• Glade Dental Clinic
• Glade Pharmacy LLC
• Glade Spring Volunteer Life Saving Crew
• William Scott Glascock, DDS
• Christine Michele Hilton, LPTA
• Ahsan Iqbal
• Seth Jennings, PHARMD

• Community/Retail Pharmacy in Glade Spring, VA
• Providers in Glade Spring, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.