IndividualActive
Glenn Shaw, R.PH.
NPI 1003911314 · Pharmacist · Jackson, MS
Glenn Shaw, R.PH. is a Pharmacist provider in Jackson, MS (NPI 1003911314).
Provider details
- NPI number
- 1003911314
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- No
- License
- E-07155 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 364-1555
Approximate (ZIP-level) locationGet directions
Mailing address
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is Glenn Shaw's NPI number?
- Glenn Shaw's National Provider Identifier (NPI) is 1003911314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Shaw's specialty?
- Glenn Shaw is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Glenn Shaw located?
- Glenn Shaw's practice location on file with NPPES is 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116.
- What is Glenn Shaw's phone number?
- The practice phone number listed in the NPPES registry for Glenn Shaw is (601) 364-1555.
- Is Glenn Shaw's NPI active?
- Yes — Glenn Shaw's NPI (1003911314) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.