Organization Active NPI

Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Roanoke, VA
National Provider Identifier
1134587181
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201004676 Issued in VA
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 CORPORATEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beverly Enterrises58 organizations share this tax ID, including this one

Member of 5

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

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.

Verify at the official NPI Registry.