JENNIFER PENROSE (NPI# 1851625685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851625685 |
| Entity Type | Individual |
| Full Name | JENNIFER PENROSE |
| Credential | PHARM.D., BCPS |
| Practice Address |
1935 N Stapley Dr Mesa AZ 85203-2749 |
| Practice Telephone | 4806104173 |
| Mailing Telephone | 4806104173 |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2009-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
S016172 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696805 | Jennifer E Penrose | Physical Therapist | 1445 Galaxy Dr Ne, Suite 301, Lacey, WA 98516-4746 | 2005-08-10 |
| 1437449501 | Jennifer R. Penrose | Nurse Practitioner | 1123 Woodward Dr, Greensburg, PA 15601-6416 | 2011-04-11 |
| Street Address |
1935 N STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85203-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487699492 | Smiths Food & Drug Centers Inc | Pharmacy | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2006-06-17 |
| 1841771961 | Taylor Lee Heintz | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2018-08-27 |
| 1437549961 | Jolynn Jennie Briles | Nurse Practitioner | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2015-02-04 |
| 1578966685 | Tara Disanto | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2014-10-02 |
| 1346586443 | Kurt William Adkins | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2012-12-17 |
| 1881938660 | The Little Clinic of Arizona LLC | Physician Assistant | 1935 N Stapley Dr, Mesa, AZ 85203 | 2012-11-19 |
| 1982960860 | Gregg A Myers | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2012-04-05 |
| 1912287095 | Fry's Pharmacy | Pharmacy | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2011-08-22 |
| 1689987760 | Jacqueline Mellyn | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2010-07-19 |
| 1164753596 | Natalya S Elevich | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588995658 | Eric Nelson Anger IIi | Pharmacist | 4645 E Decatur St, Mesa, AZ 85205-6317 | 2010-01-28 |
| 1164902938 | Aaron Gerber | Pharmacist | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2018-08-20 |
| 1184061921 | Kelly Kathleen Erdos | Pharmacist | 6644 E Baywood Ave, Banner Baywood, Mesa, AZ 85206-1747 | 2013-06-03 |
| 1194162933 | Stephanie Schneck | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2013-06-03 |
| 1376980011 | Lisette Breto | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2013-06-03 |
| 1790122539 | Jared Jones | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2013-06-03 |
| 1508203340 | Candyce Collins | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2013-06-03 |
| 1811213226 | Vi Thuy Le Nguyen | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2010-04-09 |
| 1881929180 | Susan Marie Mcconnell | Pharmacist | 554 W Baseline Rd, Mesa, AZ 85210-6019 | 2009-10-05 |
| 1619167574 | Kellie M Beiber | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2007-07-26 |
| Find all providers in MESA | ||||
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| 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.