IndividualActive
Manderrious Glenn
NPI 1154284388 · Pharmacotherapy Pharmacist · Austell, GA
Manderrious Glenn is a Pharmacotherapy Pharmacist provider in Austell, GA (NPI 1154284388).
Provider details
- NPI number
- 1154284388
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH035275 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 732-4000
Street-level locationGet directions
Mailing address
723 Arbor Hill Dr
Stone Mountain, GA 30088-2363
Registry dates
- Enumerated
- 2025-12-04
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Frequently asked questions
- What is Manderrious Glenn's NPI number?
- Manderrious Glenn's National Provider Identifier (NPI) is 1154284388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Manderrious Glenn's specialty?
- Manderrious Glenn is listed in the NPPES registry with a primary specialty of Pharmacotherapy Pharmacist (Pharmacy Service Providers).
- Where is Manderrious Glenn located?
- Manderrious Glenn's practice location on file with NPPES is 3950 Austell Rd, Austell, GA 30106-1121.
- What is Manderrious Glenn's phone number?
- The practice phone number listed in the NPPES registry for Manderrious Glenn is (770) 732-4000.
- Is Manderrious Glenn's NPI active?
- Yes — Manderrious Glenn's NPI (1154284388) is active in the NPPES registry as of the last update on 2025-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.