PENNY WYATT (NPI# 1427658657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427658657 |
| Entity Type | Individual |
| Full Name | PENNY WYATT |
| Practice Address |
976 Commonwealth Blvd Martinsville VA 24112-1887 |
| Mailing Address |
1005 River Forest Pl Martinsville VA 24112-5515 |
| Practice Telephone | 2766382905 |
| Mailing Telephone | 2766383780 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202006386 | VA | Pharmacy Service Providers |
| Street Address |
976 COMMONWEALTH BLVD |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-1887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063439263 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 976 Commonwealth Blvd, Martinsville, VA 24112-1887 | 2006-07-16 |
| 1699390088 | Mary Leann Smith | Pharmacist | 976 Commonwealth Blvd, Martinsville, VA 24112-1887 | 2020-06-11 |
| 1063502177 | Wal-mart Stores East, Lp | Technician/Technologist | 976 Commonwealth Blvd, Martinsville, VA 24112-1887 | 2006-10-13 |
| 1588776785 | Douglas Michael Christman | Optometrist | 976 Commonwealth Blvd, Martinsville, VA 24112-1887 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1336763390 | Julie A Drapalik | Pharmacist | 2415 Observatory Rd, Martinsville, IN 46151-7837 | 2020-06-04 |
| 1295384758 | Nicholas Aaron Vermillion | Pharmacist | 789 State Road 39 Byp S, Martinsville, IN 46151-2127 | 2019-09-08 |
| 1689936460 | Kayla C Griffin | Pharmacist | 240 Commonwealth Blvd W Ste 702, Martinsville, VA 24112-1951 | 2012-06-08 |
| 1891070165 | Stephen Imperato | Pharmacist | 83 Hillcrest Rd, Martinsville, NJ 08836 | 2011-10-18 |
| 1689959447 | Warren Leon Wilkinson II | Pharmacist | 240 West Commonwealth Blvd., Kroger Pharmacy, Martinsville, VA 24112 | 2011-10-12 |
| 1396025003 | Mark C Warner | Pharmacist | 943 Mulberry Rd, Martinsville, VA 24112-4416 | 2011-08-25 |
| 1396067021 | William Leonard Parker | Pharmacist | 2876 Greensboro Rd, Martinsville, VA 24112-8109 | 2010-02-22 |
| 1710974621 | Martin Jasion | Pharmacist | 1990 Washington Valley Rd, Martinsville, NJ 08836-2057 | 2005-10-05 |
| 1083214233 | Tonette Ramion | Pharmacist | 410 Grand Valley Blvd, Martinsville, IN 46151-6123 | 2020-10-27 |
| 1306446778 | Jordan Gipe | Pharmacist | 410 Grand Valley Blvd, Martinsville, IN 46151-6123 | 2020-10-27 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
Please comment or provide details below to improve the information on PENNY WYATT.
| 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.