NPIMap

Organization Active NPI

Pinewoods

Doing business as Pinewoods McIntosh Trail CSR

  • Clinic Pharmacy
  • Barnesville, GA
National Provider Identifier
1487843686
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHH007917 Issued in GA
Legal business name
PINEWOODS
Doing business as
Pinewoods McIntosh Trail CSR
Practice address
700 Highway 341 S
Barnesville, GA 30204-3470
Phone
(770) 358-5252
NPI assigned
Oct 24, 2007
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

700 Highway 341 S
Barnesville, GA 30204-3470

Mailing address

700 Highway 341 S
Barnesville, GA 30204-3470

Other identifiers 1

IdentifierTypeStateIssuer
1156442OtherOTHER ID NUMBER

Other names 1

  • PINEWOODS MCINTOSH TRAIL CSR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McIntosh Trail CSB29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.