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Pine Knob Pharmacy 5 Inc

Community/Retail Pharmacy in Davisburg, MI · enumerated 2006 · authorized official Stephen Graham, Manager Pharmacy Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063520435

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Knob Pharmacy 5 Inc
Other name <Unavail>
Practice address 10740 Dixie Hwy, Davisburg, MI, 48350
Phone (248) 620-5222
Fax (248) 625-0314
Enumeration date Aug 27, 2006
Last updated in NPPES Apr 15, 2008

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 5301007729 (MI) Primary

Authorized official

Name Stephen Graham
Title Manager Pharmacy Services
Phone (248) 348-1570

Other identifiers

Identifier Type State Issuer
2364850 Other - OTHER ID NUMBER
2364850 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pine Knob Pharmacy 5 Inc?
NPPES lists Stephen Graham (Manager Pharmacy Services) as the authorized official for this organization.
What is the NPI number for Pine Knob Pharmacy 5 Inc?
The NPI for Pine Knob Pharmacy 5 Inc is 1063520435, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-15.