NPIMap

Pinewoods

Organization Active NPI Clinic Pharmacy · Barnesville, GA

NPI 1487843686 · NPPES record last updated Jan 11, 2008

Key facts

NPI
1487843686
Entity type
Organization (NPI type 2)
Primary specialty
Clinic Pharmacy 3336C0002X
License
PHH007917 (GA)
Legal business name
PINEWOODS
Practice address
700 Highway 341 S
Barnesville, GA 30204-3470
Phone
(770) 358-5252
NPI assigned
Oct 24, 2007
Organization subpart
No

Authorized official

Name
Pamela McCollum, RPH
Title
Executive Director
Phone
(770) 358-8250

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

National Provider Directory

Tax ID family
McIntosh Trail CSB (29 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHH007917 GA Yes

Addresses

Primary practice location

700 Highway 341 S
Barnesville, GA 30204-3470

Mailing address

700 Highway 341 S
Barnesville, GA 30204-3470

Other identifiers

IdentifierTypeStateIssuer
1156442OtherOTHER ID NUMBER

Other names

  • PINEWOODS MCINTOSH TRAIL CSR Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 11, 2008.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1487843686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGHWAY 341 S",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302043470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGHWAY 341 S",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302043470",
            "telephone_number": "770-358-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEWOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-358-8250",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "GA",
            "license": "PHH007917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1156442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINEWOODS MCINTOSH TRAIL CSR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barnesville, GA

All providers in Barnesville, GA · Clinic Pharmacy in Georgia

Sources for this page

Verify at the official NPI Registry.