Pioneer Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PIONEER PHARMACY LLC

Practice address

2221 Livernois Rd Ste 100
Troy, MI 48083-1603

Phone

(248) 422-6799

Fax

(248) 422-6850

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Mustafa Haidar, PHARMD

Title

Owner

Phone

(248) 422-6799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1811768880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LIVERNOIS RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831603",
            "telephone_number": "248-422-6799",
            "fax_number": "248-422-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 LIVERNOIS RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831603",
            "telephone_number": "248-422-6799",
            "fax_number": "248-422-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-422-6799",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athea Pinili, NP
• Olivia Pinili
• Adriana Mary Pinkowski, D.O
• Pinnacle Gi Lab LLC
• Eduardo Martin Pinto, RPH
• Natalie R Pirkola, PHARMD
• Samantha Louise Piro, MA, LLPC
• Kaylee Place, LLMSW
• Platinum Home Health Services Inc
• Platinum Hospice and Palliative Care Inc

• Community/Retail Pharmacy in Troy, MI
• Providers in Troy, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.