Pencol Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PDO.1680000068 Issued in CO

Legal business name

PENCOL COMPOUNDING PHARMACY

Practice address

1325 S Colorado Blvd
Suite B-024
Denver, CO 80222-3303

Phone

(303) 388-3613

NPI assigned

Sep 4, 2014

Last updated

Sep 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marshall D. Tobin, R.PH.

Title

Ceo

Phone

(303) 388-3613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1366842759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD",
            "address_2": "SUITE B-024",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223303",
            "telephone_number": "303-388-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD",
            "address_2": "SUITE B-024",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223303",
            "telephone_number": "303-388-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENCOL COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-388-3613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CO",
            "license": "PDO.1680000068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Pena
• Lucia Alvarez Pena
• Ashley Pence, PT, DPT
• Christine M Pence, PA-C
• Diana Pencheva, NP
• Pencol Specialty Pharmacy LLC
• Peggy Dawn Pendell, N.P.-C
• Sarah Pender-Bey, LPC
• Matthew Pendergrass, NP
• Judith Claire Pendergrast

• Compounding Pharmacy in Denver, CO
• Providers in Denver, CO by specialty
• Compounding Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.