OrganizationActive
Pennock Pharmacy
NPI 1538426093 · Community/Retail Pharmacy · Wayland, MI
Pennock Pharmacy is a Community/Retail Pharmacy organization in Wayland, MI (NPI 1538426093).
Provider details
- NPI number
- 1538426093
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amanda Risner, Certified Pharmacy Technician(269) 945-1212
- License
- 5301009800 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12851 W M 179 Hwy
Wayland, MI 49348-9318
Phone: (269) 945-8050
Fax: (269) 945-8048
Street-level locationGet directions
Mailing address
12851 W M 179 Hwy
Wayland, MI 49348-9318
Other names (DBA / former)
- Doing business as
- Pennock Pharmacy - Gun Lake
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2015-10-13
Frequently asked questions
- What is Pennock Pharmacy's NPI number?
- Pennock Pharmacy's National Provider Identifier (NPI) is 1538426093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennock Pharmacy?
- Pennock Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pennock Pharmacy located?
- Pennock Pharmacy's practice location on file with NPPES is 12851 W M 179 Hwy, Wayland, MI 49348-9318.
- What is Pennock Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Pennock Pharmacy is (269) 945-8050.
- Who is the authorized official for Pennock Pharmacy?
- The authorized official listed on Pennock Pharmacy's NPPES record is Amanda Risner, Certified Pharmacy Technician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennock Pharmacy's NPI active?
- Yes — Pennock Pharmacy's NPI (1538426093) is active in the NPPES registry as of the last update on 2015-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.