Pioneer Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PIONEER PHARMACY LLC

Practice address

9743 66TH St N
Pinellas Park, FL 33782-3008

Phone

(727) 513-0873

Fax

(727) 800-2001

NPI assigned

Oct 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rushi Bhakta

Title

Owner

Phone

(727) 513-0873

Specialties & licenses 1

Addresses

Other names 1

• Pioneer Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Dematteo, PHARM.D RPH

  • Pharmacist
  • Tampa, FL
  • NPI 1518412923
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1033937792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9743 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337823008",
            "telephone_number": "727-513-0873",
            "fax_number": "727-800-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9743 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337823008",
            "telephone_number": "727-513-0873",
            "fax_number": "727-800-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "RUSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-513-0873",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pinellas Park Facility Inc
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• Pinellas Pharmacy LLC
• Taylor Pinto
• Pit Stop Medical, Inc.
• Christie Alicia Pitts, MS, LMHC
• PJ Future Vision Holdings LLC
• Tina Platania
• Annelyse Maria Plogman

• Community/Retail Pharmacy in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.