Emerson Penalba, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

69398 Issued in FL

Practice address

630 Atlantic Blvd
Neptune Beach, FL 32266-4000

Phone

(904) 249-1725

NPI assigned

Aug 22, 2025

Last updated

Aug 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Emerson Penalba Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #1367

  • Community/Retail Pharmacy
  • Neptune Beach, FL
  • NPI 1790724649
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1053299636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ATLANTIC BLVD",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322664000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ATLANTIC BLVD",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322664000",
            "telephone_number": "904-249-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALBA",
        "first_name": "EMERSON",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "69398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMERSON",
            "last_name": "PENALBA",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Reagan Palmer, M.S., RMHCI
• Teri Pappas, LMHC
• Prahlad Patel
• Karla B Payne
• Pediatric Associates of NE Florida, LLC (Jacksonville Pediatric Associates)
• Perniciaro Laboratories, Inc (First Coast Dermatopathology)
• Julie Marie Pippins, PHARMD
• Leslie G Platock, DDS
• Nicole Pondexter, LMT
• Publix Super Markets Inc (Publix Pharmacy #1367)

• Pharmacist in Neptune Beach, FL
• Providers in Neptune Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.