Pineville Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Pineville, KY. Organization (NPI-2).
NPI number1104064302
StatusActive
Last updated in NPPESAug 24, 2011
Details
- NPI
- 1104064302
- Entity type
- Organization (NPI-2)
- Legal business name
- Pineville Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jan 26, 2009
- Last updated
- Aug 24, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | P07320 | KY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Pineville Pharmacy (Doing Business As)
Practice location
114 N Pine StPineville, KY 40977-1647
Phone 606-337-3335 · Fax 606-337-3338
Mailing address
114 N Pine StPineville, KY 40977-1647
Phone 606-337-3335 · Fax 606-337-3338
Authorized official
Eric Gibbs
Owner
6062580000
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All 11 Community/Retail Pharmacy providers in Pineville · All 205 providers in Pineville
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