SUSAN M PENNELL (NPI# 1861571564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861571564 |
| Entity Type | Individual |
| Full Name | SUSAN M PENNELL |
| Credential | RPH CCN |
| Practice Address |
G3320 Beecher Rd Flint MI 48532-3614 |
| Mailing Address |
2262 N Mckinley Rd Flushing MI 48433-9420 |
| Practice Telephone | 8107328720 |
| Practice Fax Number | 8107326267 |
| Mailing Telephone | 8104870503 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
023789 | MI | Pharmacy Service Providers |
| Street Address |
G3320 BEECHER RD |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043239510 | Jeffrey Mark Rowe | Pharmacist | G3320 Beecher Rd, Flint, MI 48532-3614 | 2006-07-18 |
| 1295254225 | Alissa Johnson | Pharmacist | G3320 Beecher Rd, Flint, MI 48532-3614 | 2017-09-11 |
| 1922535335 | Yuan-nung Tony Lin | Pharmacist | G3320 Beecher Rd, Flint, MI 48532-3614 | 2017-05-16 |
| 1033327382 | Norma Jean Skoglund | Pharmacist | G3320 Beecher Rd, Flint, MI 48532 | 2007-05-18 |
| 1275750895 | Robert R Krueger | Pharmacist | G3320 Beecher Rd, Flint, MI 48532 | 2007-04-18 |
| 1255470738 | Gerald Robert Eisenbeis II | Pharmacist | G3320 Beecher Rd, Diplomat Specialty Pharmacy, Flint, MI 48532 | 2007-02-05 |
| 1851461719 | Michael A. Larson | Pharmacist | G3320 Beecher Rd, Flint, MI 48532-3614 | 2006-11-08 |
| 1558307462 | Diplomat Pharmacy Inc | Durable Medical Equipment & Medical Supplies | G3320 Beecher Rd, Flint, MI 48532-3614 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881062883 | Wessam Yousef | Pharmacist | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2015-09-08 |
| 1205110376 | Tina K Melonakos | Pharmacist | 718 N Macomb St, Monroe, MI 48162-7815 | 2011-10-06 |
| 1447416193 | Benjamin Jacob Demongey | Pharmacist | 1105 Sixth St, Traverse City, MI 49684-2345 | 2008-08-01 |
| 1477547933 | Thomas S. Sullivan | Pharmacist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2005-09-09 |
Please comment or provide details below to improve the information on SUSAN M PENNELL.
| 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.