Stella Panneton, PHARM.D.
Individual provider Active NPI Pharmacist · Bolton, MA
NPI 1689119786 · NPPES record last updated Dec 28, 2016
Key facts
- NPI
- 1689119786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH26939 (MA)
- Practice address
- 233 Green Rd
Bolton, MA 01740-1044 - Phone
- (617) 429-3046
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH26939 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH26939 | MA | Yes |
Addresses
Primary practice location
233 Green Rd
Bolton, MA 01740-1044
Mailing address
233 Green Rd
Bolton, MA 01740-1044
Other providers in Bolton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.