MRS. LAURA MARIE PENCA (NPI# 1073846374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073846374 |
| Entity Type | Individual |
| Full Name | MRS. LAURA MARIE PENCA |
| Credential | RPH |
| Practice Address |
34 W Terrace Ave Lakewood NY 14750-1137 |
| Practice Telephone | 3174130101 |
| Mailing Telephone | 3174130101 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26019488A | IN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 053419-1 | NY | Pharmacy Service Providers |
| Street Address |
34 W TERRACE AVE |
| City | LAKEWOOD |
| State | NY |
| Zip Code | 14750-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699163147 | Craig Richards | Physician Assistant | 390 E Fairmount Ave, Lakewood, NY 14750 | 2015-01-07 |
| 1982849659 | Syed Ali Raza Shamsi | Psychiatry & Neurology | 305 E. Fairmont Avenue, Unit 7, Lakewood, NY 14750 | 2008-12-10 |
| 1942417977 | Stephen C Barresi | Physician Assistant | Chd Meridian Healthcare, Jep, 4720 Bakerst, Ext., Lakewood, NY 14750 | 2007-05-17 |
| 1295947117 | Harold Ronald Carlson | Dentist | 2 East Main Street, Suite 115, Falconer, NY 14750 | 2007-05-04 |
| 1194865907 | David William Todd | Dentist | 120 Southwestern Dr, Lakewood, NY 14750 | 2007-02-08 |
| 1730271248 | Lee Ryan Anderson | Dentist | 909 Hunt Road, Lakewood, NY 14750 | 2006-09-29 |
| 1962416362 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | Rt 394 Mall Blvd, Lakewood, NY 14750 | 2006-07-28 |
| 1518925437 | Israr A Abbasi | Psychiatry & Neurology | 305 E Fairmount Ave, Lakewood, NY 14750 | 2006-05-02 |
| 1992771190 | Robert Gibbon Jr. | Psychiatry & Neurology | 92 W. Summit St., Lakewood, NY 14750 | 2006-02-27 |
| 1295213684 | Allison Claire Munella | Physician Assistant | 305 E Fairmount Ave, Lakewood, NY 14750 | 2018-07-30 |
| Find all providers in zip 14750 | ||||
| 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 |
|---|---|---|---|---|
| 1467050211 | Jungryul Koh | Pharmacist | 12611 49th Avenue Ct Sw Apt C302, Lakewood, WA 98499-5184 | 2020-10-14 |
| 1881291797 | Jeffrey Douglas Bunce | Pharmacist | 4704 127th Street Ct Sw Apt A205, Lakewood, WA 98499-5863 | 2020-10-04 |
| 1497367866 | Sergey I Fouks | Pharmacist | 449 S Balsam St, Lakewood, CO 80226-3012 | 2020-08-18 |
| 1275171951 | Sarah Brown Bueno | Pharmacist | 3918 S Wadsworth Blvd Apt 202, Lakewood, CO 80235-2271 | 2019-12-12 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1477003564 | Joseph Bitto | Pharmacist | 11280 W 20th Ave Apt 26, Lakewood, CO 80215-1264 | 2016-10-12 |
| 1205382678 | Eric Kyle Geyer | Pharmacist | 2077 Bunts Rd, Lakewood, OH 44107-6101 | 2016-08-26 |
| 1447611447 | Mary Lenefsky | Pharmacist | 1860 S Marshall Cir, Lakewood, CO 80232-7086 | 2016-03-18 |
| 1437514049 | Ngocboi Maring | Pharmacist | 12892 W Louisiana Ave, Lakewood, CO 80228-3500 | 2015-12-24 |
| 1447622253 | Paul Krakauskas | Pharmacist | 2930 Simms St, Lakewood, CO 80215-7032 | 2015-10-20 |
| Find all providers in LAKEWOOD | ||||
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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.