Organization Active NPI

Pine Family Pharmacy LLC

Doing business as Doctor's Pharmacy

  • Community/Retail Pharmacy
  • Sunnyside, WA
National Provider Identifier
1952015109
Registry record updated Feb 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PINE FAMILY PHARMACY LLC
Doing business as
Doctor's Pharmacy
Practice address
2240 E Lincoln Ave
Sunnyside, WA 98944-2487
Phone
(509) 400-4700
Fax
(509) 213-2819
NPI assigned
Jan 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2023

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

Authorized official

Name
Reddy Annappareddy
Title
Ceo
Phone
(509) 841-0000

Specialties & licenses 1

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

Addresses

Primary practice location

2240 E Lincoln Ave
Sunnyside, WA 98944-2487

Mailing address

1715 W Kennewick Ave
Kennewick, WA 99336-3378
Phone (509) 400-4700

Other names 1

  • DOCTOR'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676764800000",
    "number": "1952015109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W KENNEWICK AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363378",
            "telephone_number": "509-400-4700",
            "fax_number": "509-213-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442487",
            "telephone_number": "509-400-4700",
            "fax_number": "509-213-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-02-19",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "ANNAPPAREDDY",
        "authorized_official_first_name": "REDDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-841-0000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTOR'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; 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.