Catherine Marie Pena-Bonilla, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-15126 Issued in MS

Practice address

365 Cole Rd
Hattiesburg, MS 39402-7919

Phone

(601) 261-2244

Fax

(601) 261-2245

NPI assigned

Sep 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Catherine Pena 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 and National Provider Directory roles.

• Mississippi CVS Pharmacy LLC

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1710314463
  NPD (past)
• Mississippi CVS Pharmacy LLC

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1760404453
  NPD (past)
• Louisiana CVS Pharmacy LLC

  • Pharmacy
  • Mandeville, LA
  • NPI 1619695848
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1649789652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COLE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027919",
            "telephone_number": "601-261-2244",
            "fax_number": "601-261-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 COLE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027919",
            "telephone_number": "601-261-2244",
            "fax_number": "601-261-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 Belle Chasse Hwy",
            "address_purpose": "LOCATION",
            "city": "Terrytown",
            "state": "LA",
            "postal_code": "700567132",
            "country_code": "US",
            "telephone_number": "504-394-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA-BONILLA",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-15126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "PENA",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Peavy Chiropractic Clinic PA
• David L. Peavy, D.C.
• Richard A Pecunia, MD
• Pediatric Dental Group of Hattiesburg, PLLC
• Claire Peeck, LPC
• Lynn Pendleton, LMSW
• Christopher Alan Penton, M.D.
• Jennifer Dyanne Peoples, FNP-C
• Mary Perez, M.D.
• Kayla Leigh Ashley Perkins

• Pharmacist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.