Jan R Penny, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2012025406 Issued in MO

Practice address

588 S Jefferson Ave
Lebanon, MO 65536-3243

Phone

(417) 532-9403

NPI assigned

Aug 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Lebanon, MO
  • NPI 1801801840
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1487901310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ROYAL CT",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650204551",
            "telephone_number": "314-971-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363243",
            "telephone_number": "417-532-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "JAN",
        "middle_name": "R",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2012025406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Jacob Pappas, M.D.
• Cynthia Denise Parker, LPC
• Thomas Edward Patterson Jr., PH.D.
• Laura Patton, MS, CCC-SLP
• Kendra Peltzer, RDH
• Denis E Percell, D.O.
• Shelby Ann Perkins, PSYD
• Philip W Caster MD and John P Caster MD LLC
• Lindsay Poletti, LCSW
• Allison Richter Potter, DDS

• Pharmacist in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.