SUSAN M. PENNELL RPH CCN – NPI #1861571564
Pharmacist

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

SUSAN PENNELL is a pharmacist located in FLINT, MI. NPPES has assigned the NPI number 1861571564 to SUSAN PENNELL on November 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835N1003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Nutrition Support

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN PENNELL below.

NPI Profile for
SUSAN M. PENNELL

NPI Number
1861571564
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN M. PENNELL
Credentials
RPH CCN
Primary location
G3320 BEECHER RD
FLINT, MI 48532-3614
Phone: (810) 732-8720 Fax: (810) 732-6267
Mailing address
2262 N MCKINLEY RD
FLUSHING, MI 48433-9420
Phone: (810) 487-0503 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835N1003X
- Pharmacist / Nutrition Support (Primary)
MI 023789

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.