Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1871964569 Deactivated / Inactive NPI Male Practitioner

Glenn Herskowitz , PHARM

Pharmacist • San Mateo, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Glenn Herskowitz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 07, 2015
NPI Deactivation Date April 01, 2019
Total Practice Duration ~4 Years of Practice (2015 – 2019)

Professional Overview & Biography Verified Profile Summary

Glenn Herskowitz, PHARM was a registered Pharmacist practicing in San Mateo, CA. Throughout an active medical career spanning 4 years, Glenn Herskowitz provided care at the practice location at 225 37TH AVE FL 3 until profile deactivation on 2019-04-01.

Practice Location & Contact Primary Location

Practice Address

225 37th Ave Fl 3

San Mateo, CA 944034324

Telephone 6505732296

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in San Mateo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
86 Specialists

Practicing in San Mateo, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 38475

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License NV 9078

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Kelsey Nibbelink

Student in an Organized Health Care Education/Training Program

NPI 1033635164
Tania Velazquez , MFTI

Marriage & Family Therapist

NPI 1053664235
Kimberly Pingol

Student in an Organized Health Care Education/Training Program

NPI 1063832632
Karina Lopez Hernandez

Student in an Organized Health Care Education/Training Program

NPI 1083136717
Mona Cabada

Marriage & Family Therapist

NPI 1245448141
Alberto Ramos , BS

Counselor - Addiction (Substance Use Disorder)

NPI 1255672093

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location November 14, 2024

Registered at 225 37TH AVE FL 3, SAN MATEO, CA 944034324 (Tel: 6505732296)

📍
Updated Business Mailing Address November 14, 2024

Registered at PO BOX 5155, LARKSPUR, CA 949775155

👤
Provider Name / Credentials Updated November 14, 2024

Recorded as GLENN HERSKOWITZ, PHARM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2024

Pharmacist (License #9078 in NV)

⚠️
NPI Profile Deactivated April 01, 2019

Record deactivated on April 01, 2019

NPI Profile Active October 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2015

Registered at 220 HAWTHORNE AVE, LARKSPUR, CA 949391308 (Tel: 4159241133)

📍
Updated Business Mailing Address October 07, 2015

Registered at PO BOX 5155, LARKSPUR, CA 949775155 (Tel: 4159241133)

👤
Provider Name / Credentials Updated October 07, 2015

Recorded as GLENN HERSKOWITZ, PHARM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2015

Pharmacist (License #38475 in CA)

🟢
Initial NPI Registration & Enumeration October 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Glenn Herskowitz. Be the first to share your experience!

Sign in to leave a review for Glenn Herskowitz

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1871964569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2015
Last Update: November 14, 2024
Deactivation Date: April 01, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 5155

Larkspur, CA 949775155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.