DR. MATT JOSPEH PENANO (NPI# 1417327941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417327941 |
| Entity Type | Individual |
| Full Name | DR. MATT JOSPEH PENANO |
| Credential | PHARM.D |
| Practice Address |
2710 Del Prado Blvd S Unit 2-308 Cape Coral FL 33904-5788 |
| Practice Telephone | 5612039071 |
| Practice Fax Number | 2018497853 |
| Mailing Telephone | 2398343793 |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS54008 | FL | Pharmacy Service Providers |
| Street Address |
2710 DEL PRADO BLVD S UNIT 2-308 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33904-5788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835698 | Wendy Reyes Perez | Behavioral Analyst | 326 Se 31st St, Cape Coral, FL 33904 | 2018-06-20 |
| 1669923488 | Tcm Quality Services, Inc | Case Management | 2804 Del Prado Blvd, # 209 Suite 3, Cape Coral, FL 33904 | 2016-10-17 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
| 1508205634 | Brandy Williams | Counselor | 3723 A Del Prado Blvd S, Cape Coral, FL 33904 | 2013-06-21 |
| 1295002608 | Jcs Home Health, Inc. | Home Health | 1505 Se 40th St., Ste. C, Cape Coral, FL 33904 | 2011-11-30 |
| 1477835551 | Thomas Dare | Occupational Therapist | 4129 Se 2nd Ave., Cape Coral, FL 33904 | 2011-09-14 |
| 1134422173 | Michelle L Mandich | Massage Therapist | 3636 Del Prado Blvd S., Cape Coral, FL 33904 | 2010-12-14 |
| 1770807059 | Professional Nurses Registry | Nursing Care | 875 Se 47th Terr., Suite 1, Cape Coral, FL 33904 | 2010-03-16 |
| Find all providers in zip 33904 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1730791286 | Shaan Abid Malik | Pharmacist | 1501 Viscaya Pkwy Ste 2, Cape Coral, FL 33990-6226 | 2020-08-17 |
| 1407466840 | Dominic Cordisco | Pharmacist | 211 Hancock Bridge Pkwy Unit 7, Cape Coral, FL 33990-4022 | 2020-07-31 |
| 1649891367 | Michelle Estevez | Pharmacist | 4101 Ne 20th Ct, Cape Coral, FL 33909-7362 | 2020-05-05 |
| 1710534680 | Ian Adrian Toloza | Pharmacist | 4202 Sw 14th Ave, Cape Coral, FL 33914-5668 | 2019-08-24 |
| 1568941482 | Jennifer Elizabeth Binder | Pharmacist | 5223 Sunnybrook Ct, Cape Coral, FL 33904-5861 | 2018-08-10 |
| 1740781350 | Estelle Sanchez-marrero | Pharmacist | 4 Se 21st Ave, Cape Coral, FL 33990-1425 | 2018-02-28 |
| 1184176901 | Gerta Avdia | Pharmacist | 611 Old Burnt Store Rd South, Cape Coral, FL 33991 | 2016-10-27 |
| 1811444680 | Michael Douglas Lee | Pharmacist | 1805 Sw Santa Barbara Pl, Cape Coral, FL 33991-3459 | 2016-09-08 |
| 1124573852 | Kristine Anne Marie Kalugdan Quizon | Pharmacist | 1926 Ne 15th St, Cape Coral, FL 33909-1648 | 2016-08-23 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33904 |
Please comment or provide details below to improve the information on DR. MATT JOSPEH PENANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.