Active NPI
Pharmacy Corporation of America
- Long Term Care Pharmacy
- Roanoke, VA
National Provider Identifier
1134587181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0201004676
- Legal business name
- PHARMACY CORPORATION OF AMERICA
- Practice address
- 4423 Pheasant Ridge Rd
Suite 205
Roanoke, VA 24014-5299 - Phone
- (844) 661-7240
- Fax
- (844) 661-7241
- NPI assigned
- Feb 5, 2016
- Organization subpart
- Yes
- Parent organization
- PHARMERICA CORPORATE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven S. Reed
- Title
- Vice President
- Phone
- (502) 394-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 0201004676 | VA | Primary |
Addresses
Primary practice location
4423 Pheasant Ridge Rd
Suite 205
Roanoke, VA 24014-5299
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (502) 394-2100
Other names 1
- Express Care Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Beverly Enterrises
Member of 5
Organizations this organization is a member of, according to the National Provider Directory.
-
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1528091105
Member Of
Locations
1901 Campus Pl
Ste 205
Louisville, KY 40299
4423 Pheasant Ridge Rd
Ste 205
Roanoke, VA 24014
Phone (804) 272-3300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603324800000",
"number": "1134587181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N WHITTINGTON PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402227101",
"telephone_number": "502-394-2100",
"fax_number": "855-217-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4423 PHEASANT RIDGE RD",
"address_2": "SUITE 205",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240145299",
"telephone_number": "844-661-7240",
"fax_number": "844-661-7241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY CORPORATION OF AMERICA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHARMERICA CORPORATE",
"enumeration_date": "2016-02-05",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "502-394-2100"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "VA",
"license": "0201004676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Express Care Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Express Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.