Organization Active NPI

Pineland Pharmacy, LLC

Doing business as Pineland Pharmacy

  • Community/Retail Pharmacy
  • Richardson, TX
National Provider Identifier
1417036393
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26240 Issued in TX
Legal business name
PINELAND PHARMACY, LLC
Doing business as
Pineland Pharmacy
Practice address
502 Business Parkway
Richardson, TX 75081
Phone
(214) 579-9967
Fax
(409) 420-3101
NPI assigned
Nov 3, 2006
Last updated
Jan 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Chris McElfresh
Title
Manager
Phone
(214) 579-9967

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 26240 TX Primary

Addresses

Primary practice location

502 Business Parkway
Richardson, TX 75081

Mailing address

502 Business Parkway
Richardson, TX 75081
Phone (214) 579-9967

Other names 1

  • Pineland Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

502 Business Pkwy
Richardson, TX 75081
Phone (214) 579-9967

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1417036393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BUSINESS PARKWAY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75081",
            "telephone_number": "214-579-9967",
            "fax_number": "409-420-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BUSINESS PARKWAY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75081",
            "telephone_number": "214-579-9967",
            "fax_number": "409-420-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELAND PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "MCELFRESH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-579-9967"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pineland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.