Active NPI
Alexander Glass, PHARMD
- Pharmacist
- Phenix City, AL
National Provider Identifier
1699249144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033423
- Practice address
- 2515 Crawford Rd
Phenix City, AL 36867-3629 - Phone
- (334) 297-3722
- NPI assigned
- Jan 17, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22254 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | S12398 | AL | |
| Pharmacist | 183500000X | RPH033423 | GA | Primary |
Addresses
Primary practice location
2515 Crawford Rd
Phenix City, AL 36867-3629
Mailing address
118 Lake Rebel Dr
Fortson, GA 31808-4028
Phone (706) 442-8853
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22254 | AL | MD | Pharmacist |
| RPH033423 | GA | MD | Pharmacist |
| S12398 | AL | MD | Student in an Organized Health Care Education/Training Program |
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 and National Provider Directory roles.
-
- Pharmacy
- Phenix City, AL
- NPI 1437164795
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1699249144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 LAKE REBEL DR",
"city": "FORTSON",
"state": "GA",
"postal_code": "318084028",
"telephone_number": "706-442-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 CRAWFORD RD",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368673629",
"telephone_number": "334-297-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "ALEXANDER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-17",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "22254",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S12398",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.