PINE KNOB PHARMACY 5 INC (NPI# 1063520435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063520435 |
| Entity Type | Organization |
| Organization Name | PINE KNOB PHARMACY 5 INC |
| Other Organization Name | PINE KNOB SAVMOR PHARMACY 5 |
| Practice Address |
10740 Dixie Hwy Davisburg MI 48350-1123 |
| Mailing Address |
43155 W 9 Mile Rd Novi MI 48375-4190 |
| Practice Telephone | 2486205222 |
| Practice Fax Number | 2486250314 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | STEPHEN GRAHAM (MANAGER PHARMACY SERVICES) |
| Authorized Official Telephone | 2483481570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301007729 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2364850 | 05 | |
| OTHER ID NUMBER | 2364850 | 01 |
| Other Name | Type Code |
|---|---|
| PINE KNOB SAVMOR PHARMACY 5 | Doing Business As Name - Organization |
| Street Address |
10740 DIXIE HWY |
| City | DAVISBURG |
| State | MI |
| Zip Code | 48350-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174866982 | North Oakland Family Medical, PC | General Practice | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2013-03-29 |
| 1538464953 | Ramla Shahab Moghul | Family Medicine | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2011-01-15 |
| 1881836435 | Opdyke Diagnostic Center Plc | Specialist | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2009-03-28 |
| 1598933772 | Pine Knob Pharmacy #5 | Durable Medical Equipment & Medical Supplies | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2008-02-11 |
| 1225119324 | Courtney Elizabeth Plas | Pharmacist | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720283856 | Mark Allen Dennis | Dentist | 16104 Dixie Hwy, Davisburg, MI 48350 | 2007-06-19 |
| 1497848121 | William Sophiea | Psychologist | 6887 Dixie, Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1376641803 | Bonnie Sue Blanzy | Counselor | 12850 Fountain Sq., Ste. 106, Davisburg, MI 48350 | 2006-09-20 |
| 1194207548 | Christopher Elliot | Nurse Practitioner | 6690 Rolling Meadow Dr, Davisburg, MI 48350 | 2018-09-02 |
| 1841384328 | Elise Finch-sophiea | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1881144830 | New Horizons Rehabilitation Services, Inc | Day Training, Developmentally Disabled Services | 10445 Dixie Hwy, Davisburg, MI 48350-1308 | 2016-10-13 |
| 1033622667 | Julie Ann Bise | Registered Nurse | 10555 Enterprise Dr Ste 314, Davisburg, MI 48350-1338 | 2017-11-06 |
| 1093960585 | Mary Boyhtari | Dietitian, Registered | 9171 Tindall Rd, Davisburg, MI 48350-1625 | 2008-11-25 |
| 1992258065 | Alyssa Ponkey | Technician, Other | 12415 Windcliff, Davisburg, MI 48350-1680 | 2016-07-26 |
| 1245434091 | Sheila Manchen | Registered Nurse | 9260 Osprey Bay Cir, Davisburg, MI 48350-1717 | 2007-06-14 |
| Find all providers in zip 48350 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.