1. Home
  2. Directory
  3. Michigan
  4. Clarkston
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PINE KNOB PHARMACY #4
NPI 1629256169
Durable Medical Equipment & Medical Supplies in Clarkston, MI

Active since February 06, 2008
5710 BELLA ROSA BLVD, CLARKSTON, MI 48348(248) 620-0296 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine Knob Pharmacy #4 NPPES

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

PINE KNOB PHARMACY #4 (NPI 1629256169) is a healthcare organization registered as a durable medical equipment & medical supplies in Clarkston, Michigan and active in the NPI registry since February 2008. The organization lists Anthony Jay Plas, Manager, as its authorized official.

NPPES Registry Identity

NPI1629256169
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePINE KNOB PHARMACY #4
Location Address5710 BELLA ROSA BLVDClarkston, MI 48348-4773
Mailing Address5710 Bella Rosa BlvdClarkston, MI 48348-4773 · (248) 620-0296
Phone(248) 620-0296
Organization SubpartNo
Authorized OfficialAnthony Jay PlasManager · (248) 620-0296
Enumeration DateFebruary 6, 2008
✔ NPI 1629256169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
5710 BELLA ROSA BLVD, Clarkston, MI 48348
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

RHIANNON JOY SERRURIER CRC, LLPC
Counselor
5710 BELLA ROSA BLVD
CLARKSTON, MI 48348
Oakland County (248) 657-4639
MR. DANIEL MCCOSKEY R.PH12174
Pharmacist
5710 BELLA ROSA BLVD
CLARKSTON, MI 48348
Oakland County (248) 620-0296
PINE KNOB PHARMACY 4 INC
Pharmacy (Community/Retail Pharmacy)
5710 BELLA ROSA BLVD
CLARKSTON, MI 48348
Oakland County (248) 620-0296

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 Knob Pharmacy #4's NPI number?

The NPI number for Pine Knob Pharmacy #4 is 1629256169. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Pine Knob Pharmacy #4 located?

Pine Knob Pharmacy #4 is located at 5710 Bella Rosa Blvd, Clarkston, MI 48348. The listed phone number is (248) 620-0296.

What is Pine Knob Pharmacy #4's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Pine Knob Pharmacy #4 was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.