Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942229679 Individual Practitioner Male Practitioner

Glen M Mathis , RPH

Pharmacist • Girard, KS

Professional Overview & Biography Verified Profile Summary

Glen Mathis, RPH is a registered healthcare professional specializing in Pharmacist in Girard, KS. Practice services are available at 400 W SAINT JOHN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 W Saint John St

Girard, KS 667431213

Telephone 6207244313
Fax 6207246900
Associated Practice Facility / Clinic
🏢 Mathis Drug Store, Inc. Facility NPI 1861418444

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Girard, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Girard, KS (2627 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

CMS Verified: 2020-09-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100435000A (KS)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1558487843

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 29, 2020

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

📍
Updated Business Mailing Address September 29, 2020

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

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

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

📍
Updated Business Mailing Address July 08, 2007

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

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GLEN MATHIS, RPH

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

Pharmacist (License #206354 in KS)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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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

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.