PINE KNOB PHARMACY #2 (NPI# 1548438724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548438724 |
Entity Type | Organization |
Organization Name | PINE KNOB PHARMACY #2 |
Practice Address |
5625 Water Tower Pl Suite 101 Clarkston MI 48346-2671 |
Practice Telephone | 2486251215 |
Mailing Telephone | 2486251215 |
Enumeration Date | 2008-02-11 |
Last Update Date | 2008-02-11 |
Authorized Official Name | DR. ANTHONY JAY PLAS (MANAGER) |
Authorized Official Telephone | 2486251215 |
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 | Suppliers |
Street Address |
5625 WATER TOWER PL SUITE 101 |
City | CLARKSTON |
State | MI |
Zip Code | 48346-2671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326093964 | Regional Cardiology Associates, P.l.c. | Internal Medicine | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-05-23 |
1255833992 | Nicole Hosler | Nurse Practitioner | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2018-03-07 |
1811039191 | Women's Integrated Health Care, P.C. | Obstetrics & Gynecology | 5625 Water Tower Pl, Ste 200, Clarkston, MI 48346-2671 | 2007-02-13 |
1326133174 | Kenneth Gerald Keener | Pharmacist | 5625 Water Tower Pl, Suite 101, Clarkston, MI 48346-2671 | 2006-10-04 |
1063510089 | James A Harrill | Physician Assistant | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-09-21 |
1609984608 | Pain Management Centers PC | Clinic/Center | 5625 Water Tower Pl, Suite 220, Clarkston, MI 48346-2671 | 2006-08-29 |
1881702892 | Ashraf I Khan | Pain Medicine | 5625 Water Tower Pl, Suite 220, Clarkston, MI 48346-2671 | 2006-08-29 |
1275641631 | Pine Knob Pharmacy 2 Inc | Pharmacy | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-08-27 |
1750327771 | Clarkston Health Center | Radiology | 5625 Water Tower Pl, Suite G-33, Clarkston, MI 48346-2671 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
Find all providers in zip 48346 |
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 |
---|---|---|---|---|
1629572599 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 7650 Dixie Hwy Ste 130, Clarkston, MI 48346-2078 | 2018-03-23 |
1225433717 | Henry Hunt | Durable Medical Equipment & Medical Supplies | 1612 Rimview Dr, Clarkston, WA 99403-3041 | 2014-10-27 |
1639593528 | Irb Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 5701 Bow Pointe Dr Ste 105, Clarkston, MI 48346-3199 | 2014-02-12 |
1598044208 | Scooter Chair Repair Georgia, LLC | Durable Medical Equipment & Medical Supplies | 3519 Church St, Unit D, Clarkston, GA 30021-1723 | 2011-08-11 |
1396977203 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 306 5th St, Clarkston, WA 99403-1860 | 2009-08-12 |
1952545758 | Staniszewski Optometry Pllc | Durable Medical Equipment & Medical Supplies | 7111 Dixie Hwy # 152, Clarkston, MI 48346-2077 | 2009-04-23 |
1295918571 | William H Reuther | Durable Medical Equipment & Medical Supplies | 7478 Gateway Park Dr Ste B, Clarkston, MI 48346-2574 | 2007-12-10 |
1104029743 | Premier Braces | Durable Medical Equipment & Medical Supplies | 1366 Bridge St, Clarkston, WA 99403-2332 | 2007-06-11 |
1205906013 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 5751 Clarkston Road, Clarkston, MI 48348-4707 | 2006-11-09 |
1891804357 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 5789 Ortonville Road, Clarkston, MI 48346-2959 | 2006-08-29 |
Find all providers in CLARKSTON |
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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.