Pantherx Specialty LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

PANTHERX SPECIALTY LLC

Doing business as

PANTHERx Specialty Pharmacy

Practice address

280 Moore Lane
Collierville, TN 38017

Phone

(855) 726-8479

Fax

(855) 246-3986

NPI assigned

Aug 29, 2024

Last updated

Sep 17, 2025By 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

Renee Crain

Title

Contracts Manager

Phone

(855) 726-8479

Specialties & licenses 2

Addresses

Other identifiers 17

Other names 1

• PANTHERx Specialty Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pantherx Specialty LLC

  dba PANTHERx Specialty Pharmacy

  • Specialty Pharmacy
  • Pittsburgh, PA
  • NPI 1316213531

  9032372016

  Same PAC ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rose Marie Blake, DPH

  • Pharmacist
  • Collierville, TN
  • NPI 1932490117
  NPD
• Kaylee Rae Beal, PHARMD

  • Pharmacist
  • Coraopolis, PA
  • NPI 1851818124
  NPD (past)
• Heather Marie Butler, RPH, PHARMD

  • Pharmacist
  • Coraopolis, PA
  • NPI 1831989888
  NPD (past)
• Carly Gillis

  • Pharmacist
  • Coraopolis, PA
  • NPI 1316884620
  NPD (past)
• Zackary Miller, PHARMD

  • Pharmacist
  • Moon Township, PA
  • NPI 1851272587
  NPD (past)
• Macauli Moeini

  • Pharmacist
  • Coraopolis, PA
  • NPI 1386550358
  NPD (past)
• Ann Marie Rapone

  • Pharmacist
  • Coraopolis, PA
  • NPI 1053258269
  NPD (past)

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1487488664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BAYER RD BLDG 5",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152059706",
            "telephone_number": "855-726-8479",
            "fax_number": "855-246-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MOORE LANE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "855-726-8479",
            "fax_number": "855-246-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHERX SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "855-726-8479"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102702417-0004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487488664",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100296778",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487488664",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200566670C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015069640005",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101025040",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177060",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079597",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3147472",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487488664",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487488664",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6718462",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000238468",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q097581",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487488664",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300100596",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PANTHERx Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PANTHERx Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael Pastori
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• Patton Pharmacy

• Specialty Pharmacy in Collierville, TN
• Providers in Collierville, TN by specialty
• Specialty Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.