Ofelia Maria Pineda

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHRE006651 Issued in GA

Practice address

3875 Austell Rd
Suite 302
Austell, GA 30106-1103

Phone

(770) 944-9101

Fax

(770) 944-7702

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physicians Pharmacy & Medical Supply LLC

  dba Physicians Pharmacy

  • Community/Retail Pharmacy
  • Austell, GA
  • NPI 1902879265
  NPD (past)
• Physicians Pharmacy and Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Austell, GA
  • NPI 1912464090
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1194167767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD",
            "address_2": "SUITE 302",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061103",
            "telephone_number": "770-944-9101",
            "fax_number": "770-944-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD",
            "address_2": "SUITE 302",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061103",
            "telephone_number": "770-944-9101",
            "fax_number": "770-944-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "OFELIA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE006651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Pharmacy & Medical Supply LLC (Physicians Pharmacy LTC)
• Physicians Pharmacy & Medical Supply LLC (Physicians Pharmacy)
• Physicians Pharmacy and Medical Supply, LLC
• Clifford Pickett, MD
• Annette Pimtone
• Alyssa Ruth Filomeno Pingue
• Guillaume J Pinguet
• Pinnacle Orthopaedics and Sports Medicine Specialists, LLC
• Manuel Piri, NP
• Harischandra Piyasena, M.D.

• Pharmacist in Austell, GA
• Providers in Austell, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.