NPIMap

Organization Active NPI

CCN America, LP

Doing business as Coordinated Care Network Pharmacy

  • Specialty Pharmacy
  • Philadelphia, PA
National Provider Identifier
1043125222
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
CCN AMERICA, LP
Doing business as
Coordinated Care Network Pharmacy
Practice address
249 S 13TH St
Philadelphia, PA 19107-5640
Phone
(844) 657-6786
NPI assigned
Aug 14, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CCN AMERICA, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas J. Pollack
Title
President and Cfo
Phone
(412) 349-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

249 S 13TH St
Philadelphia, PA 19107-5640

Mailing address

300 Penn Center Blvd Ste 505
Pittsburgh, PA 15235-5505
Phone (412) 349-6300

Other identifiers 1

IdentifierTypeStateIssuer
1018103020002MedicaidPA

Other names 1

  • Coordinated Care Network Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CCN America LP7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1043125222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PENN CENTER BLVD STE 505",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355505",
            "telephone_number": "412-349-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075640",
            "telephone_number": "844-657-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCN AMERICA, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCN AMERICA, LP",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT AND CFO",
        "authorized_official_telephone_number": "412-349-6300"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018103020002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coordinated Care Network Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.