Pineknoll Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PINEKNOLL PHARMACY LLC

Practice address

3106 McKinney St
Melissa, TX 75454-9742

Phone

(972) 767-8669

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Joel Speers

Title

Manager

Phone

(469) 396-8059

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1659874717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 JENNING DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935506",
            "telephone_number": "469-396-8059",
            "fax_number": "469-625-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 MCKINNEY ST",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549742",
            "telephone_number": "972-767-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEKNOLL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "SPEERS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-396-8059"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kim Quintana, LMT

• Community/Retail Pharmacy in Melissa, TX
• Providers in Melissa, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.