DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN HERSKOWITZ, PHARM

Deactivated Sole Proprietor

GLENN HERSKOWITZ, PHARM is a Pharmacist healthcare provider located in SAN MATEO, California. NPI 1871964569 is deactivated in the NPPES registry. Verify at CMS.

Pharmacist · SAN MATEO, CA

This NPI has been deactivated. The record was deactivated on April 1, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1871964569
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2015 (3.4821917808219 yrs)
Last Updated
Nov 14, 2024
Deactivated
Apr 1, 2019
Licenses
9078 (NV)
38475 (CA)
Sole Proprietor
Yes

Practice Information

Address
225 37TH AVE FL 3
SAN MATEO, CA, 944034324
Browse CA providers · Browse ZIP 94403
Phone
6505732296
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in SAN MATEO, CA

Name Credential NPI
DEREK C HUANG PHARMD 1588737431
MRS. VEENA RUSHI PHARM.D. 1790816403
BECKY EMBREY PHARM.D. 1669682415
DR. JOHN GRILLOS RPH, DPM 1578767927
DAISY GONZALES MONTESA 1285823500
GARY LYNN HORNE PHARMACIST 1245413178
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.