Glenn Lakes Pharmacy, Inc.
NPI 1326050782ActiveOrganization· Pharmacist· Missouri City, TX
Pharmacist in Missouri City, Texas, registered in NPPES in August 2006. The authorized official on file is Mona Rachel Finley, R.PH., Clinical Pharmacy Manager. Medicare paid $22,143 for services to 98 patients in 2024.
Overview
| NPI | 1326050782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2006 |
| Last updated in NPPES | Dec 22, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 20540 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 98 |
|---|---|
| Services billed | 317 across 7 procedure codes |
| Paid by Medicare | $22,143 |
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