Active NPI
Glenda Michelle Hunt, CPHT
- Pharmacy Technician
- Kennesaw, GA
National Provider Identifier
1710572425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PHTC000012
- Practice address
- 2105 Barrett Park Dr NW Ste 101
Kennesaw, GA 30144-7080 - Phone
- (678) 797-9067
- Fax
- (678) 797-9066
- NPI assigned
- Mar 4, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PHTC000012 | GA | Primary |
Addresses
Primary practice location
2105 Barrett Park Dr NW Ste 101
Kennesaw, GA 30144-7080
Mailing address
53 Boulder View Dr
Dallas, GA 30157-2317
Phone (404) 934-5752
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 |
|---|---|---|---|
| PHTC000012 | GA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Partners of Ga | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Kennesaw, GA
- NPI 1285837922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1710572425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 BOULDER VIEW DR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301572317",
"telephone_number": "404-934-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 BARRETT PARK DR NW STE 101",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447080",
"telephone_number": "678-797-9067",
"fax_number": "678-797-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "GLENDA",
"middle_name": "MICHELLE",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "GA",
"license": "PHTC000012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.