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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PHCY-00917 | NH | Pharmacy Service Providers |
Street Address |
175 QUEEN CITY AVE STE 1 |
City | MANCHESTER |
State | NH |
Zip Code | 03101-7121 |
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 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 |
---|---|---|---|---|
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 |
City | MANCHESTER |
Zip Code | 03101 |
Please comment or provide details below to improve the information on STEPHEN SAM PENN.
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.