DR. TODD ANTHONY PENN (NPI# 1518374677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518374677 |
| Entity Type | Individual |
| Full Name | DR. TODD ANTHONY PENN |
| Credential | PHARM.D. |
| Practice Address |
4330 Timber Ridge Trl Sw Apt. 10 Wyoming MI 49519-6426 |
| Mailing Address |
4330 Timber Ridge Trl Sw Apt 10 Wyoming MI 49519-4298 |
| Practice Telephone | 4803097636 |
| Mailing Telephone | 4803097636 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302042001 | MI | Pharmacy Service Providers |
| Street Address |
4330 TIMBER RIDGE TRL SW APT. 10 |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| 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 |
|---|---|---|---|---|
| 1720626526 | Dawn Ngoc Nguyen | Pharmacist | 2926 Florence Dr Sw, Wyoming, MI 49418-9736 | 2019-12-12 |
| 1518494954 | Nhi Uyen Tran | Pharmacist | 3010 Boone Ave Sw, Wyoming, MI 49519-7006 | 2017-05-16 |
| 1407305675 | Timothy Bos | Pharmacist | 2207 Porter St Sw # Condo108, Wyoming, MI 49519-2276 | 2016-09-28 |
| 1679850077 | Theodore Wentworth | Pharmacist | 4457 Penny Lane Sw, Wyoming, MI 49418 | 2011-11-14 |
| 1558645127 | Pamela K Mitchell | Pharmacist | 4560 Penny Ln Sw, Wyoming, MI 49418-8324 | 2011-09-30 |
| 1144503723 | Robin A Curtis | Pharmacist | 1550 Gezon Pkwy Sw Ste E-100, Wyoming, MI 49509-9397 | 2011-09-21 |
| 1679854111 | Pam Lowing | Pharmacist | 1550 36th St Sw, Wyoming, MI 49509-3409 | 2011-08-29 |
| 1467627315 | Kassia O'brien | Pharmacist | 21 Kingstown Rd, Wyoming, RI 02898-1101 | 2008-04-22 |
| 1699810648 | Kevin Michael Smith | Pharmacist | 16 Chelsea Farm Dr, Wyoming, RI 02898-1221 | 2007-02-20 |
| 1811053861 | Grand Valley Health Plan-wymoning Pharmace | Pharmacist | 5251 Clyde Pack Sw, Wyoming, MI 49509 | 2006-12-27 |
| Find all providers in WYOMING | ||||
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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.