PINE BROOK PHARMACY LLC
NPI 1588310239
Pharmacy - Long Term Care Pharmacy in Brooksville, FL

Active since February 22, 2022CLIA 10D2195626 · Waiver
14111 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 610-4347(352) 610-4349 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Pine Brook Pharmacy Llc NPPES

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

PINE BROOK PHARMACY LLC (NPI 1588310239), doing business as Pine Brook Pharmacy, is a healthcare organization registered as a long term care pharmacy in Brooksville, Florida and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Dorothy Schmeckpeper, Pharmacy Supervisor, as its authorized official.

NPPES Registry Identity

NPI1588310239
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePINE BROOK PHARMACY LLC
Location Address14111 CORTEZ BLVDBrooksville, FL 34613-2707
Mailing Address14111 Cortez BlvdBrooksville, FL 34613-2707 · (352) 610-4347 · Fax (352) 610-4349
Fax(352) 610-4349
Organization SubpartNo
Authorized OfficialDorothy SchmeckpeperPharmacy Supervisor · (352) 610-4347
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 2, 2022
NPI 1588310239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
14111 CORTEZ BLVD, Brooksville, FL 34613

Other Names 1

Doing Business AsPine Brook Pharmacy

Other Identifiers 1

Medicaid001168201FL

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 10D2195626

Pine Brook Pharmacy LLC · Brooksville, FL
Active · expires Oct 9, 2026
CLIA Number10D2195626
Laboratory TypePharmacy
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorGautam R. Thakkar
Laboratory Phone(352) 610-4347
Laboratory LocationPine Brook Pharmacy LLC14111 Cortez Blvd, Brooksville, FL 34613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Pharmacist
14111 CORTEZ BLVD
BROOKSVILLE, FL 34613
Pharmacy (Community/Retail Pharmacy)
14111 CORTEZ BLVD
BROOKSVILLE, FL 34613

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 Brook Pharmacy LLC's NPI number?

The NPI number for Pine Brook Pharmacy LLC is 1588310239. It was assigned to this organization in the NPPES registry on February 22, 2022. The provider is doing business as Pine Brook Pharmacy.

Where is Pine Brook Pharmacy LLC located?

Pine Brook Pharmacy LLC is located at 14111 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 610-4347.

What is Pine Brook Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Pine Brook Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2195626) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pine Brook Pharmacy LLC was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.