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Glen M Mathis , RPH

Pharmacist β€’ Girard, KS

Active NPI 1942229679 Individual Practitioner Male Practitioner
Practice location in NPPES

400 W Saint John St
Girard, KS 667431213

Call 6207244313 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 W Saint John St

Girard, KS 667431213

Telephone 6207244313
Fax 6207246900
Organization at the Same NPPES Address or Phone
Mathis Drug Store, Inc. Facility NPI 1861418444

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Girard and Kansas

2 active clinicians are listed under Pharmacist with a practice address in Girard, KS (2,583 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES KS 206354

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100435000A (KS)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 29, 2020

Registered at 400 W SAINT JOHN ST, GIRARD, KS 667431213 (Tel: 6207244313)

πŸ“
Updated Business Mailing Address September 29, 2020

Registered at 400 W SAINT JOHN ST, GIRARD, KS 667431213 (Tel: 6207244313)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 129 S SUMMIT ST, GIRARD, KS 667431544 (Tel: 6207244313)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 129 S SUMMIT ST, GIRARD, KS 667431544 (Tel: 6207244313)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as GLEN MATHIS, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: KS 206354)

🟒
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942229679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: September 29, 2020
Sole Proprietor: Yes

Mailing Address

400 W Saint John St

Girard, KS 667431213

Phone: 6207244313

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.