Organization Active NPI

Pinney'S Prescription Shop, Inc.

  • Community/Retail Pharmacy
  • Kingsport, TN
National Provider Identifier
1548367758
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
695 Issued in TN
Legal business name
PINNEY'S PRESCRIPTION SHOP, INC.
Practice address
1201 N Wilcox Dr
Kingsport, TN 37660-4922
Phone
(423) 247-8188
Fax
(423) 230-0264
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Spencer E PinneyNPI 1356991970
Title
Owner/Pic
Phone
(423) 247-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 695 TN Primary

Addresses

Primary practice location

1201 N Wilcox Dr
Kingsport, TN 37660-4922

Mailing address

1201 N Wilcox Dr
Kingsport, TN 37660-4922
Phone (423) 247-8188

Other identifiers 1

IdentifierTypeStateIssuer
9449534MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081216000494 TN Part B Supplier - Mass Immunization (Roster Biller Only) 0244392876 Practice locations: Kingsport, TN
O20100930078289 TN DME Supplier - Pharmacy 0244392876 Practice locations: Kingsport, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2182930Pinney'S Prescription Shop1201 N Wilcox Drive, Kingsport, TN 37660Certificate of waiverApr 26, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pinney'S Prescription Shop Inc.1201 N Wilcox Dr, Kingsport, TN 37660-4967(423) 247-8188 Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Nov 3, 2008

National Provider Directory

National Provider Directory

Locations

1201 N Wilcox Dr
Ste A
Kingsport, TN 37660
Phone (423) 247-8188

1201 N Wilcox Dr
Kingsport, TN 37660
Phone (423) 218-9214

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1548367758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WILCOX DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604922",
            "telephone_number": "423-247-8188",
            "fax_number": "423-230-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WILCOX DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604922",
            "telephone_number": "423-247-8188",
            "fax_number": "423-230-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNEY'S PRESCRIPTION SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "PINNEY",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "423-247-8188"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9449534",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.