Pinecroft Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PINECROFT PHARMACY LLC

Practice address

150 Pine Forest Dr Ste 203
Shenandoah, TX 77384-5303

Phone

(281) 466-3650

Fax

(281) 466-3657

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Kenneth Okechukwu Ukauwa, PHARMDNPI 1922062801

Title

Pharmacist in Charge

Phone

(281) 466-3650

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Care Retail and Compounding Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Okechukwu Ukauwa, PHARM.D.

  • Pharmacist
  • Pasco, WA
  • NPI 1922062801
  NPD Authorized official

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1336451822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 203",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "281-466-3650",
            "fax_number": "281-466-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 203",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "281-466-3650",
            "fax_number": "281-466-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECROFT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "UKAUWA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "OKECHUKWU",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "281-466-3650",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Retail and Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance Robert Pickard, M.D.
• Cheyenne Pierce
• Christopher Tom Pigott, RNFA
• Veronica Pina Bugenhagen, MD, DVM
• Rubina Pina, LPC, MED
• Pinewood Sleep Center LLC
• Iago H Pinto, PT, DPT
• Jade Elizabeth Piper, PA-C
• Zarin Pirzada, MD
• Virginia Plumlee

• Community/Retail Pharmacy in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.