Glenn Stokem, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

31070 Issued in NY

Practice address

205 Main St
Salem, NY 12865-0624

Phone

(518) 854-3781

Fax

(518) 854-3827

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By 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

Registered Pharmacist

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.

• Glenns Pharmacy Inc

  • Community/Retail Pharmacy
  • Salem, NY
  • NPI 1275544819
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972670362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128650624",
            "telephone_number": "518-854-3781",
            "fax_number": "518-854-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128650624",
            "telephone_number": "518-854-3781",
            "fax_number": "518-854-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKEM",
        "first_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "31070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02510612",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Cynthia Shaw, LPN
• Kelly M Smith, P.A.
• Diane C Snyder, LMSW
• Robert Southerland, MD
• Beth Steves, RPH
• Lori L Thornton, LCSW,PHD
• Emily Tomlinson, OTR/L
• Anje C Van Berckelaer, MD

• Pharmacist in Salem, NY
• Providers in Salem, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.