Provider Type Icon

PINECREST FAMILY PRACTICE - FRENCH STREET NPI 1760524920


NPI Information

NPI: 1760524920
Provider Name: PINECREST FAMILY PRACTICE - FRENCH STREET
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 39D0933861

Address:
3125 FRENCH ST
ERIE, PA
ZIP 16504
Phone: (814) 456-2047
Get Directions

PINECREST FAMILY PRACTICE - FRENCH STREET is a non pharmacy dispensing site in Erie, PA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PINECREST FAMILY PRACTICE - FRENCH STREET NPI is 1760524920. The provider is registered as an organization entity type.

The provider's business location address is:

3125 FRENCH ST
ERIE, PA
ZIP 16504-068
Phone: (814) 456-2047

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 39D0933861 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/13/2007 and was last updated on 10/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteOS006525LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.