Active NPI
Salena Glenn
- Pharmacist
- Cordele, GA
National Provider Identifier
1841978624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH034237
- Practice address
- 1215 E 16TH Ave
Cordele, GA 31015-4585 - Phone
- (229) 273-9390
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH034237 | GA | Primary |
Addresses
Primary practice location
1215 E 16TH Ave
Cordele, GA 31015-4585
Mailing address
812 W 20TH Ave
Cordele, GA 31015-2733
Phone (229) 699-0176
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 |
|---|---|---|---|
| RPH034237 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1841978624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 W 20TH AVE",
"city": "CORDELE",
"state": "GA",
"postal_code": "310152733",
"telephone_number": "229-699-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E 16TH AVE",
"city": "CORDELE",
"state": "GA",
"postal_code": "310154585",
"telephone_number": "229-273-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "SALENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH034237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordele, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.