Pencol Specialty Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PENCOL SPECIALTY PHARMACY LLC

Practice address

1325 S. Colorado Blvd, Ste B-024
Denver, CO 80222

Phone

(303) 388-3613

Fax

(303) 388-6182

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Sherree Dismuke

Title

Manager/Owner

Phone

(303) 388-3613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1699441287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S. COLORADO BLVD, STE B-024",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "303-388-3613",
            "fax_number": "303-388-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S. COLORADO BLVD, STE B-024",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "303-388-3613",
            "fax_number": "303-388-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENCOL SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "DISMUKE",
        "authorized_official_first_name": "SHERREE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "303-388-3613"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Alvarez Pena
• Ashley Pence, PT, DPT
• Christine M Pence, PA-C
• Diana Pencheva, NP
• Pencol Compounding Pharmacy
• Sarah Pender-Bey, LPC
• Judith Claire Pendergrast
• Anna Pendleton, LCSW
• Shanon M Pendleton, PTA
• Katelyn Penfold, PT, DPT

• Compounding Pharmacy in Denver, CO
• Providers in Denver, CO by specialty
• Compounding Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.