Individual provider Active NPI

Fabiola Marie Gallardo Penchi, PHARMD

  • Pharmacist
  • Maquoketa, IA
National Provider Identifier
1265220974
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25266 Issued in IA
Practice address
918 W Platt St Ste 2
Maquoketa, IA 52060-2063
Phone
(563) 652-5611
Fax
(563) 652-6242
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25266 IA Primary

Addresses

Primary practice location

918 W Platt St Ste 2
Maquoketa, IA 52060-2063

Mailing address

110 S Main St Unit 2a
Maquoketa, IA 52060-3034
Phone (787) 431-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
25266IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1265220974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST UNIT 2A",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603034",
            "telephone_number": "787-431-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST STE 2",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602063",
            "telephone_number": "563-652-5611",
            "fax_number": "563-652-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO PENCHI",
        "first_name": "FABIOLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "25266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maquoketa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.