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MANDERRIOUS L GLENN
NPI 1154284388
Pharmacist - Pharmacotherapy in Austell, GA

Active since December 04, 2025
3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-4000 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manderrious L Glenn NPPES

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

MANDERRIOUS L GLENN (NPI 1154284388) is an individual pharmacotherapy provider in Austell, Georgia, licensed in Georgia (RPH035275) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1154284388
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameMANDERRIOUS L GLENN
Location Address3950 AUSTELL RDAustell, GA 30106-1121
Mailing Address723 Arbor Hill DrStone Mountain, GA 30088-2363
Phone(770) 732-4000
Sole ProprietorYes
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1154284388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License✔ Licensed in GA · RPH035275
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
3950 AUSTELL RD, Austell, GA 30106
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MRS. JOLI ANN WILSON D.O.
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MAGGI STUART MARKWELL
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MUHAMMAD NAJEEB MBBS
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 267-2000
SEGEN MEDICAL GROUP, P.C.
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 939-3301
DR. KATHRYN SHIPP RHYNE MD
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 732-4415
MRS. NOMIKI NIKITADENA CATSULIS APRN, PNP-PC
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
DR. YOUSEF HINDI MD
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4025
MICHELLE PRESLEY
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000

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 Manderrious Glenn's NPI number?

The NPI number for Manderrious Glenn is 1154284388. It was assigned to this individual provider in the NPPES registry on December 4, 2025.

Where is Manderrious Glenn located?

Manderrious Glenn practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-4000.

What is Manderrious Glenn's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Manderrious Glenn was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.