Matt Jospeh Penano, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS54008 Issued in FL

Practice address

2710 Del Prado Blvd S Unit 2-308
Cape Coral, FL 33904-5788

Phone

(561) 203-9071

Fax

(201) 849-7853

NPI assigned

Sep 27, 2015

Last updated

Nov 9, 2020By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1417327941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 DEL PRADO BLVD S UNIT 2-308",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045788",
            "telephone_number": "239-834-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 DEL PRADO BLVD S UNIT 2-308",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045788",
            "telephone_number": "561-203-9071",
            "fax_number": "201-849-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENANO",
        "first_name": "MATT",
        "middle_name": "JOSPEH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-27",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpenano@tuta.io",
            "affiliation": "N",
            "endpointDescription": "PGP AES-256 bit/4096 RSA default encryption",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ANSI; HTML",
            "address_1": "2710 Del Prado Blvd S Unit 2-308",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339045788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matt.penano@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "AES-256 encrypted secured email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure encrypted email",
            "address_1": "2710 Del Prado Blvd S Unit 2-308",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339045788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pelletier Rickert Physical Therapy, Inc., P.a.
• Aliette Pena
• Hernando Pena Jr.
• Jennifer E Pena, PT, DPT
• Maydelis De la Caridad Pena
• John R Penland, DC
• Arun K Penukonda, MD, FRCS, PA
• Sarada Penukonda, M.D.
• Jacob Peplow, PHARM-D
• Zahily Peraza-Higgins, ARNP

• Pharmacist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.