Glenn Tomen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

23106 Issued in NV

Practice address

6280 S Valley View Blvd Ste 732
Las Vegas, NV 89118-6833

Phone

(702) 558-2382

NPI assigned

Oct 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Aeva LLC

  • Pharmacy
  • Las Vegas, NV
  • NPI 1700208089
  NPD (past)

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1730805169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 S VALLEY VIEW BLVD STE 732",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891186833",
            "telephone_number": "702-558-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 S VALLEY VIEW BLVD STE 732",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891186833",
            "telephone_number": "702-558-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMEN",
        "first_name": "GLENN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "23106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Grace Tomassilli I
• Debra K Tomblin
• Dustin Tomblin
• Zachary Tombow
• David P Tomchek, ATC
• Alexis Joy Manguerra Tomenio
• Lorna Kalalo Tomenio
• Dragana Tomic
• Brandon Tominna
• Jessica Tominna

• Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.