Pine Pharmaceuticals, LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

032992 Issued in NY

Legal business name

PINE PHARMACEUTICALS, LLC

Practice address

100 Colvin Woods Pkwy Ste 300
Tonawanda, NY 14150-6974

Phone

(716) 248-1028

NPI assigned

Sep 18, 2014

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

Member

Phone

(716) 628-4986

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pine Pharmaceuticals, LLC Doing business as

Locations

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1376945618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLVIN WOODS PKWY",
            "address_2": "SUITE 300",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506974",
            "telephone_number": "716-248-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLVIN WOODS PKWY STE 300",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506974",
            "telephone_number": "716-248-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE PHARMACEUTICALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "MUTO",
        "authorized_official_first_name": "ALFONSE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-628-4986"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "032992",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Pharmaceuticals, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriella Mercedes Phifer
• Phillip C Culliton DPM, PC
• Laura Noelle Phillips, LCSW
• Kristine Pieczonka, LCSW
• Brian M Piekarski, PT
• David D Pliss, DMIN, LCSW
• Nadia Polataiko, M.D.
• Zachary C Pollotta, DPT
• Katherine Pope
• Brent Popovich, D.M.D.

• Clinic Pharmacy in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Clinic Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.