Mr Glenn D Shaw, RPH - Pharmacist in Jackson, MS

Mr Glenn D Shaw, RPH is a Pharmacist based in Jackson, Mississippi. Mr Glenn D Shaw is licensed to practice in Mississippi (license number E-07155) and his current practice location is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 364-1555.

NPI number for Mr Glenn D Shaw is 1003911314 and his current mailing address is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003911314.

Contact Information

Mr Glenn D Shaw, RPH
1500 E Woodrow Wilson Ave,
Jackson, MS 39216-5116
(601) 364-1555
Not Available

Healthcare Provider's Profile

Full NameMr Glenn D Shaw
GenderMale
SpecialityPharmacist
Location1500 E Woodrow Wilson Ave, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003911314
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Glenn D Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003911314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist E-07155 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glenn D Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Glenn D Shaw, RPH
1500 E Woodrow Wilson Ave,
Jackson, MS 39216-5116

Ph: (601) 364-1555
Mr Glenn D Shaw, RPH
1500 E Woodrow Wilson Ave,
Jackson, MS 39216-5116

Ph: (601) 364-1555

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› Verified 9 days ago


Pharmacist in Jackson, MS

Amy Green,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1497 Canton Mart Rd, Jackson, MS 39211
Phone: 601-956-2421    Fax: 601-978-3929
Whitney Rowell Gerber,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-364-1352    
Ms. Sandra Terry-turner, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-362-4471    
Hanna Kovalenko, PHARM.D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-362-4471    
Mrs. Nenia Powe, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-364-1555    Fax: 601-364-1578
Katherine Duggan, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1497 Canton Mart Rd, Jackson, MS 39211
Phone: 601-978-3929    

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