Pineville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07320 Issued in KY

Legal business name

PINEVILLE PHARMACY LLC

Practice address

114 N Pine St
Pineville, KY 40977-1647

Phone

(606) 337-3335

Fax

(606) 337-3338

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Eric Gibbs

Title

Owner

Phone

(606) 258-0000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pineville 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.

• Jamie Dewayne Partin, RPH

  • Pharmacist
  • Pineville, KY
  • NPI 1033574611
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1830997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pineville Medical Center, LLC
• Pineville Medical Center, LLC
• Pineville Medical Center, LLC
• Pineville Medical Center, LLC
• Pineville Nursing Home Management LLC
• Pineville Primary Care, PSC
• Pineville Radiology Associates, PSC
• Rickendra Brooke Potter, OTR/L
• Matthew Scott Powers, DPT
• Right Fork Elementary School

• Community/Retail Pharmacy in Pineville, KY
• Providers in Pineville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• 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.