PINE KNOB PHARMACY #6 (NPI# 1184892143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184892143 |
Entity Type | Organization |
Organization Name | PINE KNOB PHARMACY #6 |
Practice Address |
1701 Baldwin Ave Pontiac MI 48340-3412 |
Practice Telephone | 2482530521 |
Mailing Telephone | 2482530521 |
Enumeration Date | 2008-02-13 |
Last Update Date | 2008-02-13 |
Authorized Official Name | DR. ANTHONY J PLAS (OWNER) |
Authorized Official Telephone | 2482530521 |
Authorized Official Credential | PHARM.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301008116 | MI | Suppliers |
Street Address |
1701 BALDWIN AVE |
City | PONTIAC |
State | MI |
Zip Code | 48340-3412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588664254 | Deborah Lynne Eckert | Nurse Practitioner | 1701 Baldwin Ave, Suite 101, Pontiac, MI 48340-3412 | 2005-07-26 |
1881189918 | Mackenzie Bedor | Social Worker | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2018-07-01 |
1457711202 | Oakland Integrated Healthcare Network | Clinic/Center | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-03-07 |
1780044131 | Molly Mitchell | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-02-27 |
1578931630 | Arlie Land | Pharmacist | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2015-09-07 |
1528330420 | Great Lakes Foot Care P.C. | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2012-02-07 |
1912237512 | Louis D Soverinsky D.o. Pllc | Clinic/Center | 1701 Baldwin Ave, Suite 203, Pontiac, MI 48340-3412 | 2010-01-04 |
1295981470 | Deshonda Shonta Tyynismaa | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-08-07 |
1295931517 | Arnold C. Fellman, M.d., P.C. | Dermatology | 1701 Baldwin Ave, Suite 207, Pontiac, MI 48340-3412 | 2007-06-24 |
1053496554 | Steven R Binder | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2006-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
Find all providers in zip 48340 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821395229 | Express Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 12 W Huron St, Pontiac, MI 48342-2100 | 2011-02-21 |
1760678254 | American Medical Services | Durable Medical Equipment & Medical Supplies | 825 W Huron St, Pontiac, MI 48341-1530 | 2007-09-19 |
1720273428 | Siri Pharmacy &medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 418 W Huron St, Pontiac, MI 48341-1425 | 2007-09-06 |
1073680799 | Specialized Homecare Inc | Durable Medical Equipment & Medical Supplies | 1535 Highwood E, Pontiac, MI 48340-1234 | 2006-11-29 |
1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
1063521342 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 1186 Baldwin Avenue, Pontiac, MI 48340-1909 | 2006-08-30 |
1154430437 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 360 North Martin Luther King Jr Boulevard, Pontiac, MI 48342-1712 | 2006-08-30 |
1578573424 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 3 South Telegraph Road, Pontiac, MI 48341-1568 | 2006-08-09 |
1245245422 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1001 W Reynolds St, Pontiac, IL 61764-9776 | 2006-07-29 |
1043232168 | Helping Hands Medical Supplies & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 831 W Huron St, Pontiac, MI 48341-1530 | 2006-07-25 |
Find all providers in PONTIAC |
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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.