Active NPI
Glen Alden Harline, RPH
- Pharmacist
- South Jordan, UT
National Provider Identifier
1689301855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 276895-1701
- Practice address
- 4727 W South Jordan Pkwy
South Jordan, UT 84009-1708 - Phone
- (385) 297-9740
- Fax
- (385) 297-9741
- NPI assigned
- Aug 6, 2022
- Last updated
- Aug 6, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 276895-1701 | UT | Primary |
Addresses
Primary practice location
4727 W South Jordan Pkwy
South Jordan, UT 84009-1708
Mailing address
4727 W South Jordan Pkwy
South Jordan, UT 84009-1708
Phone (385) 297-9740
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276895-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmon City Inc | Current | Accepting new patients |
Locations
4727 W South Jordan Pkwy
South Jordan, UT 84009
Phone (385) 297-9740
Organizations & group practices 1
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": "1659744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659744000000",
"number": "1689301855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4727 W SOUTH JORDAN PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840091708",
"telephone_number": "385-297-9740",
"fax_number": "385-297-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 W SOUTH JORDAN PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840091708",
"telephone_number": "385-297-9740",
"fax_number": "385-297-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLINE",
"first_name": "GLEN",
"middle_name": "ALDEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-06",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "276895-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Jordan, UT
- Jennifer Hansen, CSW
- Teri Jo Hansen, LMT, NBCHWC, CMES
- Happy Health and Wellness of Utah LLC
- Marshall David Harding, LSAC
- Dale F Hardy, O.D.
- Harmon City Inc (Harmons Pharmacy #48)
- Harmon City Inc (Harmons Pharmacy #87)
- Harmon City, Inc (Harmons Pharmacy #86)
- Niel Ryan Harmon
- Jordan Blake Harrell, M.S., LAMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.