Pines Discount Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24151 Issued in FL

Legal business name

PINES DISCOUNT PHARMACY INC

Doing business as

Kingsley Pharmacy

Practice address

2020 Kingsley Ave Ste 2B
Orange Park, FL 32073-5181

Phone

(904) 527-7330

Fax

(904) 527-7331

NPI assigned

Dec 28, 2006

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Lee Daly

Title

President

Phone

(561) 214-3828

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kingsley Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adekunle Adimula, RPH.

  • Pharmacist
  • North Miami Beach, FL
  • NPI 1841887759
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1811053705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 KINGSLEY AVE STE 2B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735181",
            "telephone_number": "904-527-7330",
            "fax_number": "904-527-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 KINGSLEY AVE STE 2B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735181",
            "telephone_number": "904-527-7330",
            "fax_number": "904-527-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-214-3828"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030963000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea L Piercey, ARNP
• Cheri Piert
• Pillar of Life Healthcare Services LLC
• Pillar of Life Healthcare Services LLC
• Vitaly Piluiko, MD
• Syam Pinnamaneni
• Tharshikha Pirapakaran, MD
• Anna Pirgousis
• Peter John Pitocchi, M.D.
• Elizabeth Sterling Piwowarski

• Community/Retail Pharmacy in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.