Glade LTC, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GLADE LTC, LLC

Doing business as

Glade LTC

Practice address

305 Falls Dr NW
Abingdon, VA 24210-8093

Phone

(276) 776-1920

Fax

(276) 776-1930

NPI assigned

Jun 6, 2018

Last updated

Mar 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seth Jennings, PHARMDNPI 1396594438

Title

Owner

Phone

(276) 776-1920

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Glade LTC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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 Pharmacy LLC

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

  dba Glade Pharmacy

  • Community/Retail Pharmacy
  • Glade Spring, VA
  • NPI 1669656179
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth Jennings, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Glade Spring, VA
  • NPI 1396594438
  NPD Authorized official
• Jeffrey Scott Taylor, PHARM.D.

  • Pharmacist
  • Glade Spring, VA
  • NPI 1528792108

  Community/Retail Pharmacy

  NPD

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1760974547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FALLS DR NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108093",
            "telephone_number": "276-776-1920",
            "fax_number": "276-776-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FALLS DR NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108093",
            "telephone_number": "276-776-1920",
            "fax_number": "276-776-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-776-1920",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760974547",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glade LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genoa Healthcare LLC
• Liana Gensler, PTA
• Sharon V. Gilbert, N.P.
• Robert Dickenson Gilmer, M.D.
• Anita Nikirk Givens, R.D.
• Gme Medical Supply, Inc.
• Destiny Rose Goodson, LPC
• Naga Bharani Goparaju, MD
• Julie Marie Goulet, PT, DPT
• Mary Briggs Graham, M.S. CCC-SLP

• Long Term Care Pharmacy in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.