PINE PHARMACEUTICALS, LLC (NPI# 1376945618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376945618 |
| Entity Type | Organization |
| Organization Name | PINE PHARMACEUTICALS, LLC |
| Other Organization Name | PINE PHARMACEUTICALS, LLC |
| Practice Address |
100 Colvin Woods Pkwy Ste 300 Tonawanda NY 14150-6974 |
| Mailing Address |
100 Colvin Woods Pkwy Suite 300 Tonawanda NY 14150-6974 |
| Practice Telephone | 7162481028 |
| Mailing Telephone | 7162481028 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | ALFONSE MUTO (MEMBER) |
| Authorized Official Telephone | 7166284986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
032992 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2147265 | 01 |
| Other Name | Type Code |
|---|---|
| Pine Pharmaceuticals, LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PINE PHARMACEUTICALS, LLC | 355 Riverwalk Pkwy, Tonawanda, NY 14150-5837 |
| Street Address |
100 COLVIN WOODS PKWY STE 300 |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14150-6974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349338 | Jennifer Legrand | Dietitian, Registered | 62 Raintree Is Apt 10, Tonawanda, NY 14150 | 2019-08-01 |
| 1245707934 | Anthony John Dellavalle | Emergency Medicine | 341 Niagara Street, Tonawanda, NY 14150 | 2018-10-31 |
| 1871088450 | Karen Mittlefehldt | Physical Therapist | 2540 Sheridan Drive, Tonawanda, NY 14150 | 2018-06-26 |
| 1871017194 | Amanda Beth Mrzygut | Emergency Medical Technician, Basic | 269 Mapleview Dr, Tonawanda, NY 14150 | 2017-07-28 |
| 1700248648 | Nathan Willett | Technician, Other | 432 Forbes Ave., Tonawanda, NY 14150 | 2016-03-21 |
| 1831555432 | Safe Ride of Wny Inc | Taxi | 2813 Niagara St, Tonawanda, NY 14150 | 2016-01-12 |
| 1447509278 | Nancy Lynne Haas | Licensed Practical Nurse | 173 Linwood Ave, Tonawanda, NY 14150 | 2012-09-07 |
| 1558646331 | Nancy Cliff | Registered Nurse | 39 O'hara Rd, Tonawanda, NY 14150 | 2011-10-12 |
| 1801195979 | Joann Mirabella | Speech-Language Pathologist | 313 Wrexham Ct. North, Tonawanda, NY 14150 | 2011-03-15 |
| 1841593829 | Marie A Burger | Social Worker | 130 Syracuse St., Tonawanda, NY 14150 | 2010-12-13 |
| Find all providers in zip 14150 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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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|---|---|---|---|---|
| 1821601386 | Universal Rx Inc | Pharmacy | 2002 Jericho Tpke, New Hyde Park, NY 11040-4701 | 2020-08-25 |
| 1194284893 | Mens Health of Smithtown | Pharmacy | 329 E Middle Country Rd Ste 8, Smithtown, NY 11787-2821 | 2019-03-13 |
| 1629565320 | Stashonak Clinical Pharmacy Services and Consulting | Pharmacy | 2814 Avenue X, Brooklyn, NY 11235-1904 | 2018-04-18 |
| 1831589761 | Maxor National Pharmacy Services LLC | Pharmacy | 19 Mitchell Fld, Garden City, NY 11530-6720 | 2015-01-30 |
| 1801162375 | Evers Rx Inc | Pharmacy | 226 E 144th St Fl 2, Bronx, NY 10451-5909 | 2012-03-28 |
| 1538312749 | The New York Hotel Trades Council and Hotel Association of New York Ci | Pharmacy | 773-775 9th Ave, New York, NY 10019 | 2008-10-31 |
| 1841468840 | Nycdohmh Bureau of Public Health Labs | Pharmacy | 455 First Avenue Rm 147, Nycdohmh Bureau of Public Health Labs Pharmacy Departme, New York, NY 10016-9102 | 2008-02-13 |
| 1700908829 | The New York Hotel Trades Council and Hotel Association of New York Ci | Pharmacy | 265 Ashland Place, Brooklyn, NY 11217 | 2007-04-06 |
| 1811920515 | Ben-tal Pharmacy Services, Inc. | Pharmacy | 360 E 193rd St, Bronx, NY 10458-4710 | 2006-07-08 |
| 1528091220 | Ben-tal Pharmacy Services, Inc. | Pharmacy | 1515 Blondell Ave, Bronx, NY 10461-2601 | 2006-07-08 |
| 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.