Jeremiah Glass, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

40460 Issued in TN

Practice address

845 Nashville Hwy
Columbia, TN 38401-2430

Phone

(931) 381-2136

NPI assigned

Jan 27, 2017

Last updated

Jan 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kroger Limited Partnership I

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Columbia, TN
  • NPI 1811912538
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1891232948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 SPRINGER RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642869",
            "telephone_number": "931-629-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NASHVILLE HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012430",
            "telephone_number": "931-381-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "JEREMIAH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "40460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE BOARD OF PHARMACY",
            "identifier": "40460",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney B Gilbert, MD
• Dawn Melissa Gilbreath, MSW
• Malcolm Edward Gillis Jr., D.D.S.
• Robin L Gilmore, MD
• Melissa Glade, COTA
• Emily Elliott Glenn
• Stacey Goats
• Brenda Gail Goff
• Deborah L Goldsmith, MD
• Destini Blanche Gonyon, LPN

• Pharmacist in Columbia, TN
• Providers in Columbia, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.