Provider Demographics
NPI:1396625042
Name:PENA, VERA STEPHANIE STEPHANIE (ROB, BCSCP)
Entity type:Individual
Prefix:MRS
First Name:VERA STEPHANIE
Middle Name:STEPHANIE
Last Name:PENA
Suffix:
Gender:F
Credentials:ROB, BCSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 EASTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3438
Mailing Address - Country:US
Mailing Address - Phone:281-274-7047
Mailing Address - Fax:
Practice Address - Street 1:16655 SOUTHWEST FWY # B1316
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2329
Practice Address - Country:US
Practice Address - Phone:281-274-7047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332851835C0207X
TX33825183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations