NPIMap

Organization Active NPI

CCN America LP

Doing business as Coordinated Care Network Pharmacy

  • Pharmacy
  • Fort Lauderdale, FL
National Provider Identifier
1154783561
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH30622 Issued in FL
Legal business name
CCN AMERICA LP
Doing business as
Coordinated Care Network Pharmacy
Practice address
1500 W Cypress Creek Rd
Suite 203
Fort Lauderdale, FL 33309-1833
Phone
(877) 349-6337
Fax
(412) 349-6724
NPI assigned
Mar 24, 2016
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Thomas Pollack
Title
President & Cfo
Phone
(412) 349-6300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH30622 FL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1500 W Cypress Creek Rd
Suite 203
Fort Lauderdale, FL 33309-1833

Mailing address

300 Penn Center Blvd
Suite 505
Pittsburgh, PA 15235-5511
Phone (412) 349-6300

Other identifiers 1

IdentifierTypeStateIssuer
2167925OtherPK

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.

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1154783561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PENN CENTER BLVD",
            "address_2": "SUITE 505",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355511",
            "telephone_number": "412-349-6300",
            "fax_number": "412-349-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W CYPRESS CREEK RD",
            "address_2": "SUITE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091833",
            "telephone_number": "877-349-6337",
            "fax_number": "412-349-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCN AMERICA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT & CFO",
        "authorized_official_telephone_number": "412-349-6300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30622",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167925",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coordinated Care Network Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.