Active NPI
Lynette Renae Glockner, RPH
- Community/Retail Pharmacy
- Mathews, VA
National Provider Identifier
1831677459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Practice address
- 10858 Buckley Hall Rd
Mathews, VA 23109 - Phone
- (804) 725-2556
- Fax
- (804) 725-0786
- NPI assigned
- Aug 6, 2018
- Last updated
- Aug 6, 2018
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
10858 Buckley Hall Rd
Mathews, VA 23109
Mailing address
11451 Coveside PT
Gloucester, VA 23061-2576
Phone (804) 725-2556
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynette R Glockner, Inc. | Community/Retail Pharmacy | Current | Accepting new patients |
| Christy B. Brown, Inc. | Community/Retail Pharmacy | 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, 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": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1831677459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11451 COVESIDE PT",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230612576",
"telephone_number": "804-725-2556",
"fax_number": "804-725-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10858 BUCKLEY HALL RD",
"city": "MATHEWS",
"state": "VA",
"postal_code": "23109",
"telephone_number": "804-725-2556",
"fax_number": "804-725-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOCKNER",
"first_name": "LYNETTE",
"middle_name": "RENAE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mathews, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.