Pine Knob Pharmacy 1 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009089 Issued in MI

Legal business name

PINE KNOB PHARMACY 1 INC

Doing business as

Sav-Mor 51 Pine Knob Pharmacy 1

Practice address

5701 Bow Pointe Dr
Ste 130
Clarkston, MI 48346-3198

Phone

(248) 384-8050

Fax

(248) 384-8055

NPI assigned

Apr 21, 2009

Last updated

Mar 2, 2017By 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

Dr. Anthony J Plas, PHARM.D.

Title

Vice President

Phone

(248) 384-8050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sav-Mor 51 Pine Knob Pharmacy 1 Doing business as

Locations

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1336383363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "STE 130",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463198",
            "telephone_number": "248-384-8050",
            "fax_number": "248-384-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "STE 130",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463198",
            "telephone_number": "248-384-8050",
            "fax_number": "248-384-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE KNOB PHARMACY 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "PLAS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-384-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119843",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sav-Mor 51 Pine Knob Pharmacy 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miyuki Pilger, LPC, CRC
• Pine Knob Pharmacy #2
• Pine Knob Pharmacy #3
• Pine Knob Pharmacy #3, Inc. (Sav-Mor #38 Pine Knob #3)
• Pine Knob Pharmacy #4
• Pine Knob Pharmacy 2 Inc (Pine Knob Sav Mor Pharmacy 2)
• Pine Knob Pharmacy 4 Inc (Pine Knob Savmor Pharmacy 4)
• Pine Knob Urgent Care PLLC
• Amanda Piotrowski, PT, DPT
• Julia Plesz

• Community/Retail Pharmacy in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.