Pioneer Apco LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PIONEER APCO LLC

Doing business as

Upstream Pharmacy

Practice address

1100 Revolution Mill Dr Ste 10
Greensboro, NC 27405-5067

Phone

(336) 285-7985

Fax

(336) 617-0781

NPI assigned

Sep 20, 2018

Organization subpart

Yes

Parent organization

PIONEER APCO LLCAs reported in NPPES

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

Authorized official

Name

James R Austin IV

Title

Chief Operating Officer

Phone

(336) 430-8450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Upstream Pharmacy Doing business as

Part of

Pioneer Apco LLC

Locations

Practitioners 2

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

• Leslie R Susko, RPH

  • Pharmacist
  • Greensboro, NC
  • NPI 1134409360
  NPD (past)
• Sanjay Doddamani, MD

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1558451385
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1790269165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REVOLUTION MILL DR STE 10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055067",
            "telephone_number": "336-285-7985",
            "fax_number": "336-617-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 REVOLUTION MILL DR STE 10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055067",
            "telephone_number": "336-285-7985",
            "fax_number": "336-617-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER APCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER APCO LLC",
        "enumeration_date": "2018-09-20",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-430-8450",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "13839",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstream Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pinnacle Laboratory Services, LLC
• Pinnacle Retina PLLC
• Sirlena Pinnix, MSW, LCSW
• Elizabeth Claire Pinyan, CHES
• Katherine A. Pinyan, M.ED., LPC
• Pioneer Apco LLC
• Lorraine Vanessa Pippins, LCSW-A
• Stephanie Piraino, RN
• Evelyn Marie Pitchford
• Crystal Davina Pitt

• Community/Retail Pharmacy in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.