Picenti LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS 42024 Issued in FL

Legal business name

PICENTI LLC

Practice address

11147 County Line Rd
101
Spring Hill, FL 34609-5619

Phone

(727) 244-3670

Fax

(352) 340-5973

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Alan Tolba

Title

Manager

Phone

(727) 244-3670

Specialties & licenses 1

Addresses

Other names 1

• County Line Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1992002612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11147 COUNTY LINE RD",
            "address_2": "101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "727-244-3670",
            "fax_number": "352-340-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11147 COUNTY LINE RD",
            "address_2": "101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095619",
            "telephone_number": "727-244-3670",
            "fax_number": "352-340-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICENTI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "TOLBA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-244-3670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS 42024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Line Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbi Phillips, RMHCI
• Susan L. Phillips, A.P.
• Truc Phung, PHARM D
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• Physical Therapy Services of Spring Hill
• Jude Antoine Pierre, MD
• Jude-Farley Pierre, DPM
• Nadja Marie Pierre, DPM
• Pine Brook Pharmacy LTC LLC
• Pinnacle Family Medicine PA

• Community/Retail Pharmacy in Spring Hill, FL
• Providers in Spring Hill, 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 Feb 15, 2011; 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.