NPIMap

Organization Active NPI

Pineville Pharmacy LLC

Doing business as Pineville Pharmacy

  • Community/Retail Pharmacy
  • Pineville, KY
National Provider Identifier
1104064302
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07320 Issued in KY
Legal business name
PINEVILLE PHARMACY LLC
Doing business as
Pineville Pharmacy
Practice address
114 N Pine St
Pineville, KY 40977-1647
Phone
(606) 337-3335
Fax
(606) 337-3338
NPI assigned
Jan 26, 2009
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Eric GibbsNPI 1255440806
Title
Owner
Phone
(606) 258-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P07320 KY Primary

Addresses

Primary practice location

114 N Pine St
Pineville, KY 40977-1647

Mailing address

114 N Pine St
Pineville, KY 40977-1647
Phone (606) 337-3335

Other names 1

  • Pineville Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

114 N Pine St
Pineville, KY 40977
Phone (606) 337-3335

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1104064302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N PINE ST",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771647",
            "telephone_number": "606-337-3335",
            "fax_number": "606-337-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N PINE ST",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771647",
            "telephone_number": "606-337-3335",
            "fax_number": "606-337-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-258-0000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.