PINE KNOB PHARMACY #6 INC. (NPI# 1508974973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508974973 |
| Entity Type | Organization |
| Organization Name | PINE KNOB PHARMACY #6 INC. |
| Other Organization Name | PINE KNOB SAV MOR PHARMACY #6 |
| Practice Address |
1701 Baldwin Ave Suite 100 Pontiac MI 48340 |
| Practice Telephone | 2482530521 |
| Practice Fax Number | 2482530542 |
| Mailing Telephone | 2482530521 |
| Mailing Fax Number | 2482530542 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2016-01-04 |
| Authorized Official Name | DR. ANTHONY JAY PLAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2482530521 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5407550001 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008116 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2366626 | 05 | |
| MI | NCPDP | 2366626 | 01 |
| Other Name | Type Code |
|---|---|
| PINE KNOB SAV MOR PHARMACY #6 | Doing Business As Name - Organization |
| Street Address |
1701 BALDWIN AVE SUITE 100 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340 |
| 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 |
| 1184892143 | Pine Knob Pharmacy #6 | Durable Medical Equipment & Medical Supplies | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-02-13 |
| 1295931517 | Arnold C. Fellman, M.d., P.C. | Dermatology | 1701 Baldwin Ave, Suite 207, Pontiac, MI 48340-3412 | 2007-06-24 |
| Find all providers in the same location | ||||
| 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 | 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851869275 | Best Family Pharmacy LLC | Pharmacy | 693 Baldwin Ave, Pontiac, MI 48342-1318 | 2018-11-03 |
| 1083019079 | Neau Era Pharmacy | Pharmacy | 506 N Telegraph Rd, Pontiac, MI 48341 | 2014-11-03 |
| 1033545074 | Advicare Pharmacy, Inc. | Pharmacy | 1531 Highwood E, Pontiac, MI 48340-1234 | 2013-09-23 |
| 1295029312 | Srisiri Pharma Inc | Pharmacy | 989 University Dr Ste 107, Pontiac, MI 48342-1885 | 2011-06-06 |
| 1134423957 | Auburn Discount Pharmacy | Pharmacy | 263 Auburn Ave, Pontiac, MI 48342-3012 | 2011-01-09 |
| 1871897660 | Omote Rx Inc | Pharmacy | 1430 Joslyn Ave, Pontiac, MI 48340-2065 | 2011-01-07 |
| 1780992750 | Mykal Discount Pharmacy | Pharmacy | 1101 E Walton Blvd, Pontiac, MI 48340-1591 | 2010-09-23 |
| 1831201771 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 66 E Walton Blvd, Pontiac, MI 48340-1277 | 2006-08-31 |
| 1679893887 | Sav-plus Pharmacy | Pharmacy | 775 Baldwin Ave, Pontiac, MI 48340-2576 | 2010-06-10 |
| 1427234863 | Bloomfield Pharmacy North PC | Pharmacy | 44200 Woodward Ave, Ste 107, Pontiac, MI 48341-5045 | 2008-01-16 |
| 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.