Active NPI
Pinney'S Prescription Shop, Inc.
- Community/Retail Pharmacy
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 695
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Spencer E Pinney
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9449534 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2182930 | Pinney'S Prescription Shop | Certificate of waiver | Apr 26, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pinney'S Prescription Shop Inc. | Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Kingsport, TN
- NPI 1356991970
-
- Pharmacist
- Kingsport, TN
- NPI 1346340874
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.