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STACIE LYNN PENKOVA PHARMD
NPI 1699372938
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Columbus Afb, MS

Active since October 08, 2020
14TH MEDICAL GROUP, 201 INDEPENDENCE DRIVE, COLUMBUS AFB, MS 39710(662) 434-2273 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacie Lynn Penkova Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE LYNN PENKOVA PHARMD (NPI 1699372938) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Columbus Afb, Mississippi, licensed in Mississippi (E-008947) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1699372938
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameSTACIE LYNN PENKOVACredential: PHARMD
Location Address14TH MEDICAL GROUP, 201 INDEPENDENCE DRIVEColumbus Afb, MS 39710
Mailing Address14th Medical Group, 201 Independence DriveColumbus Afb, MS 39710 · (662) 434-2273
Phone(662) 434-2273
Sole ProprietorNo
Enumeration DateOctober 8, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1699372938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MS · E-008947
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
14TH MEDICAL GROUP, Columbus Afb, MS 39710
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VALERIE AYANA BRENNAN LCSW
Social Worker (Clinical)
14TH MEDICAL GROUP, 201 INDEPENDENCE DRIVE
COLUMBUS, MS 39710
Lowndes County (203) 932-5711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Penkova's NPI number?

The NPI number for Stacie Penkova is 1699372938. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Stacie Penkova located?

Stacie Penkova practices at 14th Medical Group 201 Independence Drive, Columbus Afb, MS 39710. The listed phone number is (662) 434-2273.

What is Stacie Penkova's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Stacie Penkova was last updated on October 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.