Shenna Marie Pendarvis
Pharmacist in Huntington Station, NY. Individual provider (NPI-1).
NPI number1114249653
StatusActive
Last updated in NPPESFeb 25, 2010
Details
- NPI
- 1114249653
- Entity type
- Individual (NPI-1)
- Name
- Shenna Marie Pendarvis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2010
- Last updated
- Feb 25, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 052931 | NY | Yes |
Practice location
2 Jericho TpkeHuntington Station, NY 11746-3602
Phone 631-425-8871 · Fax 631-425-8876
Mailing address
2 Jericho TpkeHuntington Station, NY 11746-3602
Phone 631-425-8871 · Fax 631-425-8876
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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