Active NPI
Pharmacy Corporation of America
- Long Term Care Pharmacy
- Rapid City, SD
National Provider Identifier
1174556757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 100-1928
- Legal business name
- PHARMACY CORPORATION OF AMERICA
- Practice address
- 3615 5TH St
Suite 109
Rapid City, SD 57701-6014 - Phone
- (605) 342-8132
- Fax
- (605) 343-3326
- NPI assigned
- Jul 8, 2006
- Organization subpart
- Yes
- Parent organization
- PHARMERICA CORPORATION
NPPES NPI Registry
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 1001503 | SD | |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | 100-1928 | SD | Primary |
Addresses
Primary practice location
3615 5TH St
Suite 109
Rapid City, SD 57701-6014
Mailing address
3802 Corporex Park Dr
Ste 200
Tampa, FL 33619-1125
Phone (813) 318-6039
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4303638 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 9166700 | Medicaid | SD | |
| 8510010 | Medicaid | SD |
Other names 1
- PHARMERICA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075859 | SD | DME Supplier - Pharmacy | 1850381807 | Practice locations: Rapid City, SD |
| O20210323001355 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850381807 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rapid City, SD; Sioux Falls, SD |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Long Term Care Pharmacy
- Sioux Falls, SD
- NPI 1083647663
O20210323001355
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmerica | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Beverly Enterrises
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Long Term Care Pharmacy
- Sioux Falls, SD
- NPI 1083647663
Member of 4
Organizations this organization is a member of, according to the National Provider Directory.
-
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1528091105
Member Of
Member organizations 110
Organizations listed as members of this organization in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Lenexa, KS
- NPI 1518064039
Member Of
-
- Home Infusion Therapy Pharmacy
- Charlottesville, VA
- NPI 1750921011
Member Of
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Heritage at Lowman Rehabilitation and Healthcare | Skilled nursing facility | Adp of the SNF | Oct 31, 2013 |
| Maplewood Center | Skilled nursing facility | Adp of the SNF | Jan 31, 2019 |
| Rice Estate Rehabilitation and Healthcare | Skilled nursing facility | Adp of the SNF | Oct 31, 2013 |
| Sharon Care Center | Skilled nursing facility | Adp of the SNF | Jan 1, 2023 |
| Camden National Bank | Skilled nursing facility | Adp of the SNF | Jan 1, 2022 |
| Pharmerica | Skilled nursing facility | Adp of the SNF | Jan 25, 2017 |
| Ashford Hall | Skilled nursing facility | Adp of the SNF | Sep 29, 2015 |
| Kau Hospital | Skilled nursing facility | Operational/Managerial Control | Feb 4, 2025 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rapid City, SD
- NPI 1699215061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1174556757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 CORPOREX PARK DR",
"address_2": "STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336191125",
"telephone_number": "813-318-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 5TH ST",
"address_2": "SUITE 109",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577016014",
"telephone_number": "605-342-8132",
"fax_number": "605-343-3326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY CORPORATION OF AMERICA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHARMERICA CORPORATION",
"enumeration_date": "2006-07-08",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "SD",
"license": "1001503",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "SD",
"license": "100-1928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4303638",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9166700",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8510010",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHARMERICA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PHARMERICA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rapid City, SD
Sources for this page
- 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.