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PINE MOUNTAIN PHARMACY INC
NPI 1144799719
Pharmacy - Community/Retail Pharmacy in Whitesburg, KY

Active since November 13, 2018CLIA 18D2168251 · Waiver
421 HIGHWAY 119 N, WHITESBURG, KY 41858(606) 454-5378 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine Mountain Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE MOUNTAIN PHARMACY INC (NPI 1144799719) is a healthcare organization registered as a community/retail pharmacy in Whitesburg, Kentucky and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Robin Justice, President, as its authorized official.

NPPES Registry Identity

NPI1144799719
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePINE MOUNTAIN PHARMACY INC
Location Address421 HIGHWAY 119 NWhitesburg, KY 41858
Mailing AddressPo Box 3026Pikeville, KY 41502-3026 · (606) 454-5378 · Fax (606) 478-3788
Phone(606) 454-5378
Organization SubpartNo
Authorized OfficialRobin JusticePresident · (606) 454-5378
Enumeration DateNovember 13, 2018
✔ NPI 1144799719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
421 HIGHWAY 119 N, Whitesburg, KY 41858
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2168251

Pine Mountain Pharmacy, Inc · Whitesburg, KY
Active · expires Jun 24, 2027
CLIA Number18D2168251
Laboratory TypePharmacy
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorMs. Amy J. Casebolt
Laboratory Phone(606) 633-5003
Laboratory LocationPine Mountain Pharmacy, Inc421 Why 119 N, Whitesburg, KY 41858
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY CASEBOLT PHARMD
Pharmacist
421 HIGHWAY 119 N
WHITESBURG, KY 41858
Letcher County (606) 633-5003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Mountain Pharmacy Inc's NPI number?

The NPI number for Pine Mountain Pharmacy Inc is 1144799719. It was assigned to this organization in the NPPES registry on November 13, 2018.

Where is Pine Mountain Pharmacy Inc located?

Pine Mountain Pharmacy Inc is located at 421 Highway 119 N, Whitesburg, KY 41858. The listed phone number is (606) 454-5378.

What is Pine Mountain Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Pine Mountain Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2168251) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pine Mountain Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Pine Mountain Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pine Mountain Pharmacy Inc was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.