Pine Mountain Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PINE MOUNTAIN PHARMACY INC

Practice address

421 Highway 119 N
Whitesburg, KY 41858

Phone

(606) 454-5378

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Robin Justice, PHARMD

Title

President

Phone

(606) 454-5378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• McCarr Drug PLLC

  • Community/Retail Pharmacy
  • McCarr, KY
  • NPI 1467250019

  Member Of

  NPD member

Locations

Practitioners 1

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

• Amy Casebolt, PHARMD

  • Pharmacist
  • Whitesburg, KY
  • NPI 1245702372
  NPD

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1144799719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3026",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415023026",
            "telephone_number": "606-454-5378",
            "fax_number": "606-478-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 HIGHWAY 119 N",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-454-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE MOUNTAIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-454-5378",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L. Pellegrini, M.D.
• Shirlyn Perkins
• Pikeville Medical Center Inc
• Pikeville Medical Center Inc
• Pikeville Medical Center Inc.
• Primary Care Centers of Eastern Kentucky, LLC
• R D Buck MD PC
• Chalapathi G Rao, MD
• Todd A. Ratliff, D.M.D.
• Amber Leann Richardson, PT, DPT

• Community/Retail Pharmacy in Whitesburg, KY
• Providers in Whitesburg, 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 Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.