Pinelog Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE000938 Issued in GA

Legal business name

PINELOG INC

Practice address

220 W College St
Suite D
Griffin, GA 30224-4121

Phone

(770) 228-2788

Fax

(770) 228-2789

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Kim Potter

Title

Pharmacist

Phone

(770) 228-2788

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Hobbs Pharmacy and Gifts Doing business as

Locations

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1235108192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W COLLEGE ST",
            "address_2": "SUITE D",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244121",
            "telephone_number": "770-228-2788",
            "fax_number": "770-228-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COLLEGE ST",
            "address_2": "SUITE D",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244121",
            "telephone_number": "770-228-2788",
            "fax_number": "770-228-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELOG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "770-228-2788"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE000938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000386295A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hobbs Pharmacy and Gifts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Richelle Penton, FNP-C
• Perfect Choice Private Home Care
• Joshua Douglas Peugh, FNP-C
• Jacob Bradley Phomas
• Heather Marie Pickle, NP
• Jehangir Tanveer Pirzada, D.O.
• Joe C. Pittman
• Plaza Consultants
• Pleasant Health Care LLC
• Eric Neil Plotnick, MD

• Community/Retail Pharmacy in Griffin, GA
• Providers in Griffin, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.