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NPI · 1255449625 · NPPES-sourced

Pine Knob Pharmacy 4 INC

ActiveCommunity/Retail Pharmacy
NPI Number
1255449625
Type 2 · Organisation
Taxonomy Code
3336C0003X
Contact
(248) 620-0296
License MI · 5301006722
Last Updated
Enumerated
Primary practice addressMI · 48348-4773
5710 Bella Rosa BlvdClarkston, MI 48348-4773
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About this NPIWhat this record shows.

NPI 1255449625 is registered to Pine Knob Pharmacy 4 INC, a healthcare organisation classified as "Community/Retail Pharmacy" and located at 5710 Bella Rosa Blvd in Clarkston, Michigan. The organisation's authorised official is Stephen Graham. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 2357728· Issued by OTHER ID NUMBER

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Pine Knob Pharmacy 4 INC accepts. To confirm in-network status with your specific health plan, contact Pine Knob Pharmacy 4 INC directly at (248) 620-0296.

Frequently asked

Yes. NPI 1255449625 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (248) 620-0296.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Pine Knob Pharmacy 4 INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0003X
Last updated
Enumerated
StatusActive
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Same specialtyOther Community/Retail Pharmacy providers in Michigan.

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