Organization Active NPI

Pine Hills Pharmacy, Inc

  • Community/Retail Pharmacy
  • Orlando, FL
National Provider Identifier
1750459020
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH 15472 Issued in FL
Legal business name
PINE HILLS PHARMACY, INC
Practice address
1210 E Colonial Dr
Suite 1
Orlando, FL 32803-4727
Phone
(407) 896-3434
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Phuong Thi Ngoc Nguyen, R.PH.
Title
President
Phone
(407) 896-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH 15472 FL Primary

Addresses

Primary practice location

1210 E Colonial Dr
Suite 1
Orlando, FL 32803-4727

Mailing address

1210 E Colonial Dr
Suite 1
Orlando, FL 32803-4727
Phone (407) 896-3434

National Provider Directory

National Provider Directory

Locations

1210 E Colonial Dr
Ste 1
Orlando, FL 32803
Phone (407) 896-3434

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750459020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E COLONIAL DR",
            "address_2": "SUITE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034727",
            "telephone_number": "407-896-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E COLONIAL DR",
            "address_2": "SUITE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034727",
            "telephone_number": "407-896-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HILLS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "THI NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-896-3434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 15472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.