Pine Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4959 Issued in AZ

Legal business name

PINE DRUGS

Doing business as

Pine Drugs

Practice address

4010 N Highway 87
Pine, AZ 85544

Phone

(928) 476-3141

Fax

(928) 476-6513

NPI assigned

Mar 5, 2008

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casey Allen

Title

Owner

Phone

(480) 251-6363

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PINE DRUGS Doing business as

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1306016324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1811",
            "city": "PINE",
            "state": "AZ",
            "postal_code": "855441811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N HIGHWAY 87",
            "city": "PINE",
            "state": "AZ",
            "postal_code": "85544",
            "telephone_number": "928-476-3141",
            "fax_number": "928-476-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-251-6363"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "4959",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0355239",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Banner Health (Banner Payson Medical Center - Banner Health Clinic Pine)
• Molly Christner, MLD, CLT, LMT
• Vincent J Haddad
• Lisa Marie York, MD (Pine Strawberry Medical Center)
• Christine Mae Nelson, RT
• Pine-Strawberry Fire District (Pine-Strawberry Fire Departmen)
• Kathryn Reiger
• Vivian Seville, CNA, LMT
• Mark J Walker
• Weendure, Inc.

• Community/Retail Pharmacy in Pine, AZ
• Providers in Pine, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.