MR. GLENN D SHAW R.PH.
NPI 1003911314
Pharmacist in Jackson, MS

Active since September 13, 2006
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 364-1555 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Glenn D Shaw R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLENN D SHAW R.PH. (NPI 1003911314) is an individual pharmacist in Jackson, Mississippi, licensed in Mississippi (E-07155) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003911314
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. GLENN D SHAWCredential: R.PH.
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing Address1500 E Woodrow Wilson AveJackson, MS 39216-5116 · (601) 364-1555
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003911314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · E-07155
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

1500 E WOODROW WILSON AVE, Jackson, MS 39216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Shaw's NPI number?

The NPI number for Glenn Shaw is 1003911314. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Glenn Shaw located?

Glenn Shaw practices at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 364-1555.

What is Glenn Shaw's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Glenn Shaw was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.