STEPHEN SAM PENN


Address: 175 Queen City Ave Ste 1, Manchester, NH 03101-7121
Phone: 6036635678

STEPHEN SAM PENN (NPI# 1659913028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659913028
Entity Type Individual
Full Name STEPHEN SAM PENN
Credential PHARMD
Practice Address 175 Queen City Ave Ste 1
Manchester
NH 03101-7121
Practice Telephone 6036635678
Practice Fax Number 6036633202
Mailing Telephone 6036635678
Mailing Fax Number 6036633202
Enumeration Date 2019-10-17
Last Update Date 2019-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist PHCY-00917 NH Pharmacy Service Providers

Office Location

Street Address 175 QUEEN CITY AVE STE 1
City MANCHESTER
State NH
Zip Code 03101-7121

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003320425 Miranda Sherburne Occupational Therapist 470 Pine Street, Manchester, NH 03101 2017-11-21
1396266938 Juliette W Daniels Social Worker 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 2017-07-05
1851820450 Samantha Ysabelle Kattiria Specialist/Technologist 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 2017-06-07
1598121188 Angelique Alicia Fortin Counselor 77 Pearl St., Manchester, NH 03101 2016-01-12
1578946786 Reta Goldman Counselor 25 Lowell St Ste 208, Manchester, NH 03101 2015-07-07
1306239207 Myra Jean Nikitas Dental Hygienist 97 West Merrimack Street, Manchester, NH 03101 2015-03-17
1902234586 Judith Patrick Ronshagen Pharmacist 175 Queen City Avenue, Ste 1, Manchester, NH 03101 2013-10-17
1942566336 Elizabeth Zavagnin Specialist 2 Wall St Ste 200, Manchester, NH 03101 2012-04-10
1538463088 William Gerald Mccormick Pharmacist 175 Queen City Ave, Manchester, NH 03101 2010-12-27
1215241799 Melissa Ann Dinoto Counselor 20 Market St., Manchester, NH 03101 2010-07-27
Find all providers in zip 03101

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053911966 Brittany Mary Travis Pharmacist 444 Center St # 117, Manchester, CT 06040-3926 2020-10-29
1255931788 Hilary Tooley Pharmacist 725 Gold St, Manchester, NH 03103-4008 2020-10-26
1407412901 Eunice Boakye Pharmacist 210 Pine St Apt 228, Manchester, CT 06040-8411 2019-05-10
1528547858 Justin Andrew Sandlin Pharmacist 2727 S Highway 421, Manchester, KY 40962-7556 2018-08-08
1538662424 Minal Jamkhande Pharmacist 50 S Willow Street, Manchester, NH 03103 2018-03-16
1902336522 Karen Scandura Pharmacist 260 North Main Street, Manchester, CT 06042 2017-06-15
1609325026 Kaitlin Rennie Pharmacist 1225 Bodwell Rd Apt 30, Manchester, NH 03109-5817 2016-09-27
1639522048 Mohammed Kasim Manzoor I Pharmacist 70 Cliffside Dr, Unit E, Manchester, CT 06042-3481 2016-07-20
1891140513 Edward Braye Entsiwah Pharmacist 48 Benton St, Manchester, CT 06040-4304 2016-05-01
1740634492 Visal Som Pharmacist 241 Middle Tpke W, Manchester, CT 06040-3834 2016-04-19
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 03101

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Dataset Information

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.

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