IndividualActive
Glen Dace, PHARMD
NPI 1255353231 · Pharmacist · Jackson, MS
Glen Dace, PHARMD is a Pharmacist provider in Jackson, MS (NPI 1255353231).
Provider details
- NPI number
- 1255353231
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- E-08709 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 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) 364-1550
Approximate (ZIP-level) locationGet directions
Mailing address
4019 Glennoak Dr
Jackson, MS 39272-9223
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Glen Dace's NPI number?
- Glen Dace's National Provider Identifier (NPI) is 1255353231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Dace's specialty?
- Glen Dace is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Glen Dace located?
- Glen Dace's practice location on file with NPPES is 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116.
- What is Glen Dace's phone number?
- The practice phone number listed in the NPPES registry for Glen Dace is (601) 364-1550.
- Is Glen Dace's NPI active?
- Yes — Glen Dace's NPI (1255353231) 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.