Pine Pharmacey at Twelve Corners LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

033859 Issued in NY

Legal business name

PINE PHARMACEY AT TWELVE CORNERS LLC

Practice address

1832 Monroe Ave
Rochester, NY 14618-1922

Phone

(585) 244-8600

Fax

(585) 697-3490

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Alfonse Muto

Title

Owner

Phone

(716) 628-4986

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pine Pharmacey at Twelve Corners LLC Doing business as

Locations

Practitioners 2

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

• Lindsay Simmons, PHARMD

  • Pharmacist
  • Rochester, NY
  • NPI 1982359774
  NPD (past)
• William D Winkowski, PHARMD

  • Pharmacist
  • Rochester, NY
  • NPI 1669806337
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1376711952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181922",
            "telephone_number": "585-244-8600",
            "fax_number": "585-697-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181922",
            "telephone_number": "585-244-8600",
            "fax_number": "585-697-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE PHARMACEY AT TWELVE CORNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MUTO",
        "authorized_official_first_name": "ALFONSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-628-4986"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "033859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Pharmacey at Twelve Corners LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Pillinger, M.D.
• Ashley Pillittere, LMSW
• Julie Pillittere
• Katherine Pincelli
• Mary Pinckney
• Denise Pine
• Rena D Pine, M.D.
• Karen Pineda Solis, MD
• Stephanie Lynn Pingrey, PA
• Shannel Niall Pinkard, LMFT

• Compounding Pharmacy in Rochester, NY
• Providers in Rochester, NY by specialty
• Compounding Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.