PINEVILLE MEDICAL CENTER, LLC (NPI# 1174013676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174013676 |
| Entity Type | Organization |
| Organization Name | PINEVILLE MEDICAL CENTER, LLC |
| Other Organization Name | PINEVILLE MEDICAL CENTER OP PHARMACY |
| Practice Address |
850 Riverview Ave Pineville KY 40977-1452 |
| Practice Telephone | 6063373051 |
| Practice Fax Number | 6063372871 |
| Mailing Telephone | 6063373051 |
| Mailing Fax Number | 6063372871 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | KEVIN COUCH (CONTROLLER) |
| Authorized Official Telephone | 6063373051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Pineville Medical Center OP Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811487317 | Pineville Medical Center, LLC | Skilled Nursing Facility | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1720578214 | Pineville Medical Center, LLC | Psychiatric Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1912497405 | Pineville Medical Center, LLC | Nurse Practitioner | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1568952059 | Pineville Medical Center, LLC | Nurse Anesthetist, Certified Registered | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1003306598 | Pineville Medical Center, LLC | Home Health | 121 W Virginia Ave, Pineville, KY 40977-1661 | 2018-05-10 |
| 1013406529 | Pineville Medical Center, LLC | General Acute Care Hospital | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1629568126 | Pineville Medical Center, LLC | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1093205593 | Pineville Medical Center, LLC | Clinic/Center | 121 W Virginia Ave, Pineville, KY 40977-1661 | 2018-05-10 |
| 1538659032 | Pineville Medical Center, LLC | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| Street Address |
850 RIVERVIEW AVE |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174539803 | Carol L Ayers | Pharmacist | 850 Riverview Ave, Pineville, KY 40977-1452 | 2006-08-01 |
| 1578194890 | Pineville Er Services | Clinic/Center | 850 Riverview Ave, Pineville, KY 40977-1452 | 2020-01-27 |
| 1194371419 | Whitney Jeree Gann | Nurse Practitioner | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-08-13 |
| 1093374837 | Pineville Community Health Center Inc | Home Health | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1275192015 | Pineville Community Health Center Inc | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1043879885 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1639738479 | Pineville Community Health Center Inc | Skilled Nursing Facility | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1831758697 | Pineville Community Health Center Inc | Clinic/Center | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1801455647 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1538728373 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| 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 |
|---|---|---|---|---|
| 1366900276 | Pineville Pharmacy | Pharmacy | 311 S Polk St Ste 80, Pineville, NC 28134-8631 | 2019-03-10 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1174040604 | Walgreen Co | Pharmacy | 448 Appalachian Hwy, Pineville, WV 24874 | 2017-08-25 |
| 1164789301 | Csam Enterprises, LLC | Pharmacy | 2971 Highway 28 E, Pineville, LA 71360-5716 | 2012-04-12 |
| 1902177389 | Freds Stores of Tennessee Inc | Pharmacy | 4628 Highway 28 E, Pineville, LA 71360-7733 | 2012-01-18 |
| 1144236647 | Walgreen Co | Pharmacy | 3100 Highway 28 E, Pineville, LA 71360-5702 | 2006-08-01 |
| 1881609063 | Walgreen Co | Pharmacy | 3400 Military Hwy, Pineville, LA 71360-4230 | 2006-07-29 |
| 1679116446 | Tjak Group LLC | Pharmacy | 114 N Pine St, Pineville, KY 40977-1647 | 2019-10-23 |
| 1982253613 | Bella Lasley LLC | Pharmacy | 308 S Pine St, Pineville, KY 40977-1735 | 2019-09-05 |
| 1043879885 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| Find all providers in PINEVILLE | ||||
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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.