Organization Active NPI

Pharmacy Corporation of America

Doing business as PharMerica

  • Long Term Care Pharmacy
  • Milwaukee, WI
National Provider Identifier
1124665336
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMACY CORPORATION OF AMERICA
Doing business as
PharMerica
Practice address
11739 W Bradley Rd
Milwaukee, WI 53224-2531
Phone
(888) 210-5906
Fax
(877) 583-0109
NPI assigned
Dec 6, 2019
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PHARMERICA HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

11739 W Bradley Rd
Milwaukee, WI 53224-2531

Mailing address

11739 W Bradley Rd
Milwaukee, WI 53224
Phone (888) 210-5906

Other names 1

  • PharMerica Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930031809 WI DME Supplier - Pharmacy 1850381807 1 other NPI on this enrollment
Practice locations: Milwaukee, WI
O20210312000971 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1850381807 1 other NPI on this enrollment
Practice locations: Milwaukee, WI

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Pharmacy Corporation of America11739 W Bradley Rd, Milwaukee, WI 53224-2531(800) 477-7221 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 18, 2020

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Corp America58 organizations share this tax ID, including this one

Member of 3

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

Locations (25 of 46)

7101 US Highway 90
Ste 300
Daphne, AL 36526
Phone (877) 770-7923

21241 N 23rd Ave
Ste 21
Phoenix, AZ 85027
Phone (520) 387-5500

4910 E Ashlan Ave
Ste 111
Fresno, CA 93726
Phone (619) 316-7531

2666 West Ln
Ste D
Stockton, CA 95205
Phone (209) 944-0192

557 Burbank St
Unit Q
Broomfield, CO 80020
Phone (303) 460-9474

3690 NW 53rd St
Ft Lauderdale, FL 33309
Phone (866) 209-2178

2200 Tall Pines Dr
Ste 118
Largo, FL 33771
Phone (727) 524-9333

2101 NW 33rd St
Ste 1400A
Pompano Beach, FL 33069
Phone (954) 978-6997

1950 Commonwealth Ln
Tallahassee, FL 32303
Phone (800) 873-1335

688 Kinoole St
Ste 109
Hilo, HI 96720
Phone (808) 969-1775

688 Kinoole St
Ste 110
Hilo, HI 96720
Phone (866) 423-5815

3375 Koapaka St
Ste H425
Honolulu, HI 96819
Phone (808) 592-2222

2970 Kele St
Ste 113A
Lihue, HI 96766
Phone (808) 245-8042

1900 Main St
Ste 3
Wailuku, HI 96793
Phone (808) 249-2113

6032 Highview Dr
Ste C
Fort Wayne, IN 46818
Phone (800) 530-1057

12100 Plantside Dr
Louisville, KY 40299
Phone (800) 662-7085

12240 Kiln Ct
Beltsville, MD 20705
Phone (301) 210-3670

3409 Hollenberg Dr
Bridgeton, MO 63044
Phone (314) 291-5700

950 W County Line Rd
Ste 100
Jackson, MS 39213
Phone (601) 956-1132

900 13th Ave S
Great Falls, MT 59405
Phone (405) 315-1989

175 Towerview Ct
Cary, NC 27513
Phone (828) 298-7600

3300 Monroe Rd
#A
Charlotte, NC 28205
Phone (800) 399-2880

3400 W Wendover Ave
Ste F
Greensboro, NC 27407
Phone (336) 297-0574

505 Hackney Ave
Washington, NC 27889
Phone (866) 946-2425

2355 Union Rd
#200
Cheektowaga, NY 14227
Phone (716) 631-2433

Ownership & related parties

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
The Heritage at Lowman Rehabilitation and HealthcareWhite Rock, SC, CCN 425100 Skilled nursing facility Adp of the SNF Oct 31, 2013
Maplewood CenterWest Allis, WI, CCN 525069 Skilled nursing facility Adp of the SNF Jan 31, 2019
Rice Estate Rehabilitation and HealthcareColumbia, SC, CCN 425387 Skilled nursing facility Adp of the SNF Oct 31, 2013
Sharon Care CenterCentralia, WA, CCN 505429 Skilled nursing facility Adp of the SNF Jan 1, 2023
Camden National BankBerlin, NH, CCN 305102 Skilled nursing facility Adp of the SNF Jan 1, 2022
PharmericaPhiladelphia, PA, CCN 396141 Skilled nursing facility Adp of the SNF Jan 25, 2017
Ashford HallIrving, TX, CCN 455748 Skilled nursing facility Adp of the SNF Sep 29, 2015
Kau HospitalKapolei, HI, CCN 125070 Skilled nursing facility Operational/Managerial Control Feb 4, 2025

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.