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GLADE PHARMACY LLC
NPI 1053130062
Pharmacist in Glade Spring, VA

Active since October 07, 2024CLIA 49D2195267 · Waiver
33472 LEE HWY, GLADE SPRING, VA 24340(276) 429-2004(276) 429-2009 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glade Pharmacy Llc NPPES

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

GLADE PHARMACY LLC (NPI 1053130062) is a healthcare organization registered as a pharmacist in Glade Spring, Virginia and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Jeffrey Scott Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1053130062
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameGLADE PHARMACY LLC
Location Address33472 LEE HWYGlade Spring, VA 24340-5100
Mailing Address33472 Lee HwyGlade Spring, VA 24340-5100 · (276) 429-2004 · Fax (276) 429-2009
Phone(276) 429-2004
Fax(276) 429-2009
Organization SubpartYes
Authorized OfficialJeffrey Scott TaylorPresident · (276) 429-2004
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1053130062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
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.
33472 LEE HWY, Glade Spring, VA 24340
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2195267

Glade Pharmacy · Glade Spring, VA
Active · expires Oct 6, 2026
CLIA Number49D2195267
Laboratory TypePharmacy
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorJeffrey Taylor
Laboratory Phone(276) 429-2004
Laboratory LocationGlade Pharmacy33472 Lee Hwy, Glade Spring, VA 24340
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SETH JENNINGS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
33472 LEE HWY
GLADE SPRING, VA 24340
Washington County (276) 429-2004
JEFFREY SCOTT TAYLOR PHARM.D.
Pharmacist
33472 LEE HWY
GLADE SPRING, VA 24340
Washington County (276) 429-2004
GLADE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
33472 LEE HWY
GLADE SPRING, VA 24340
Washington County (276) 429-2004
PAIGE BUSH PHARM D
Pharmacist
33472 LEE HWY
GLADE SPRING, VA 24340
Washington County (276) 429-2004

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 Glade Pharmacy LLC's NPI number?

The NPI number for Glade Pharmacy LLC is 1053130062. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Glade Pharmacy LLC located?

Glade Pharmacy LLC is located at 33472 Lee Hwy, Glade Spring, VA 24340. The listed phone number is (276) 429-2004.

What is Glade Pharmacy LLC's specialty?

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

Does Glade Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2195267) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glade Pharmacy LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.