Kristen Giannetti Penta
Individual provider Active NPI Pharmacist · Georgetown, MA
NPI 1023325883 · NPPES record last updated Aug 31, 2010
Key facts
- NPI
- 1023325883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22433 (MA)
- Practice address
- 1 Lakeridge Dr
Georgetown, MA 01833-1401 - Phone
- (978) 352-5027
- NPI assigned
- Aug 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22433 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22433 | MA | Yes |
Addresses
Primary practice location
1 Lakeridge Dr
Georgetown, MA 01833-1401
Mailing address
1 Lakeridge Dr
Georgetown, MA 01833-1401
Phone (978) 352-5027
Other providers in Georgetown, MA
- Victoria Jade Olechowski
- Alfred Palmerino Sr.
- Bhumika Patel
- Rajatkumar Patel
- Courtney Pelletier
- Samantha Plastino
- Riverstones Counseling, LLC
- Victoria Roberts
- Jason Douglas Robillard
- Elizabeth Anne Rose
All providers in Georgetown, MA · Pharmacist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.