Pharmacy Corporation of America

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PHARMACY CORPORATION OF AMERICA

Practice address

11739 W Bradley Rd
Milwaukee, WI 53224-2531

Phone

(888) 210-5906

Fax

(877) 583-0109

NPI assigned

Dec 6, 2019

Organization subpart

Yes

Parent organization

PHARMERICA HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Allison L. Brown

Title

Secretary

Phone

(502) 630-7429

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PharMerica Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pharmacy Corporation of America

  • Community/Retail Pharmacy
  • Milwaukee, WI
  • NPI 1427081009

  O20100930031809, O20210312000971

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Beverly Enterrises58 organizations share this tax ID, including this one

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Walgreen Co

  • Pharmacy
  • Menomonie, WI
  • NPI 1962417048

  Member Of

  NPD member

Locations (25 of 41)

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Amrhein

  • Pharmacist
  • Milwaukee, WI
  • NPI 1962124297
  NPD
• Jennifer Panther, PHARMD

  • Pharmacist
  • Milwaukee, WI
  • NPI 1073345286
  NPD
• Todd Fisher

  • Pharmacist
  • Milwaukee, WI
  • NPI 1417497413
  NPD (past)
• Cassandra Skye Anderson, PHARMD

  • Pharmacist
  • Phoenix, AZ
  • NPI 1376944181
  NPD (past)
• Stephen C Austin, PHARMD, BCPS BC-ADM

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Everett, WA
  • NPI 1023529740
  NPD (past)
• William Bryan Ayers, RPH

  • Pharmacist
  • Tallahassee, FL
  • NPI 1093255895
  NPD (past)
• Marianne Bach, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Kent, WA
  • NPI 1548806169
  NPD (past)
• Robert Mark Benge, DPH

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1902345002
  NPD (past)
• Michael Bottarini, R.PH.

  • Pharmacist
  • Union City, CA
  • NPI 1730629437
  NPD (past)
• Mark Brown, RPH, MBA

  • Pharmacist
  • Wailuku, HI
  • NPI 1740720747
  NPD (past)
• Robert Leon Burford III

  • Geriatric Pharmacist
  • Jackson, MS
  • NPI 1194317958
  NPD (past)
• Sam CHI, PHARM.D.

  • Pharmacist
  • Cypress, CA
  • NPI 1922548338
  NPD (past)

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1124665336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11739 W BRADLEY RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "888-210-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11739 W BRADLEY RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242531",
            "telephone_number": "888-210-5906",
            "fax_number": "877-583-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CORPORATION OF AMERICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMERICA HOLDINGS, INC.",
        "enumeration_date": "2019-12-06",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-630-7429"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "9696-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nguyen H Phan, MD
• Arvind G Phansalkar, M.D.
• Hannah Alyssa Pharis
• Toni Pharm LPC, LPC
• Pharmacy 2 U LLC
• Pharmacy Corporation of America
• Phase II Enterprises
• Phases of Life
• Phases Training and Consulting LLC
• Mara Pheister, M.D.

• Long Term Care Pharmacy in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.