Pine Hill Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PINE HILL PHARMACY LLC

Practice address

19 N Main St
Sherborn, MA 01770-1553

Phone

(508) 545-0946

NPI assigned

Aug 29, 2021

Organization subpart

No

Name

Ali Ardakani, RPH

Title

Owner

Phone

(508) 545-0946

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Pine Hill Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pine Hill Pharmacy LLC

  • Long Term Care Pharmacy
  • Sherborn, MA
  • NPI 1396539854
  NPD tax ID

• Pine Hill Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2022.

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1285301929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N MAIN ST",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N MAIN ST",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701553",
            "telephone_number": "508-545-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HILL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-29",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "ARDAKANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-545-0946",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "19 N Main St",
            "city": "Sherborn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017701553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pine Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claire C McCarthy, RN
• Tara S McKechnie, PHARMD
• Samantha R Mekrut, MD
• Laura Michelson, LCSW
• Cathy A. Neidich, MSW
• Pine Hill Pharmacy LLC
• Erik P Purins, M.D.
• Joan Viantha Qureshi, DMD
• Audrey Woodham Raycroft, LICSW
• Jennifer Jo Rubio, DC

• All providers in Sherborn, MA
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.