Penro Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

038-0003296 Issued in VT

Legal business name

PENRO INC

Doing business as

PENRO Specialty Compounding

Practice address

987 Main St
Colchester, VT 05446-7660

Phone

(802) 879-1100

Fax

(802) 878-2692

NPI assigned

Nov 7, 2010

Last updated

Nov 7, 2010By 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. Neal Edward Pease, R.PH.

Title

Pharmacist Manager/Owner

Phone

(802) 879-1100

Specialties & licenses 1

Addresses

Other names 1

• PENRO Specialty Compounding Doing business as

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

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289088000000",
    "number": "1679874689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054460930",
            "telephone_number": "802-879-1100",
            "fax_number": "802-878-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 MAIN ST",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054467660",
            "telephone_number": "802-879-1100",
            "fax_number": "802-878-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-07",
        "last_updated": "2010-11-07",
        "status": "A",
        "authorized_official_last_name": "PEASE",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACIST MANAGER/OWNER",
        "authorized_official_telephone_number": "802-879-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "VT",
            "license": "038-0003296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENRO Specialty Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven R Partilo, M.D.
• Marta Parys
• Sahir Chandrakant Patel, M.D.
• Kristen Pavelock
• Jaclyn Peary, RN
• Sarah Kuebler Perryman, PT, DPT
• Thomas C Peterson, M.D.
• Pharmacy Network (Community Health Pharmacy)
• Stephanie Pierce, MSOTR/L
• Ellen Modica Pilon, BS PHYSICAL THERAPY

• Compounding Pharmacy in Colchester, VT
• Providers in Colchester, VT by specialty
• Compounding Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; 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.