Active NPI
CCN America, LP
- Specialty Pharmacy
- Pittsburgh, PA
National Provider Identifier
1194213652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- 114317
- Legal business name
- CCN AMERICA, LP
- Practice address
- 300 Penn Center Blvd Ste 405
Pittsburgh, PA 15235-5511 - Phone
- (412) 349-6300
- Fax
- (412) 349-6311
- NPI assigned
- Apr 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Pollack
- Title
- VP
- Phone
- (412) 349-6300
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | 114317 | AL | Primary |
| Specialty Pharmacy | 3336S0011X | 264536 | MN | |
| Specialty Pharmacy | 3336S0011X | 6301010585 | MI | |
| Specialty Pharmacy | 3336S0011X | MO40001734 | ME | |
| Specialty Pharmacy | 3336S0011X | P07388 | MD | |
| Specialty Pharmacy | 3336S0011X | PA1463 | KY | |
| Specialty Pharmacy | 3336S0011X | 22-13060 | KS | |
| Specialty Pharmacy | 3336S0011X | 64001140A | IN | |
| Specialty Pharmacy | 3336S0011X | 054.018830 | IL | |
| Specialty Pharmacy | 3336S0011X | 4388 | IA | |
| Specialty Pharmacy | 3336S0011X | PHNR000903 | GA | |
| Specialty Pharmacy | 3336S0011X | PH26057 | FL | |
| Specialty Pharmacy | 3336S0011X | A9-0001443 | DE | |
| Specialty Pharmacy | 3336S0011X | NRX0000414 | DC | |
| Specialty Pharmacy | 3336S0011X | PCN.002683 | CT |
Addresses
Primary practice location
300 Penn Center Blvd Ste 405
Pittsburgh, PA 15235-5511
Mailing address
300 Penn Center Blvd Ste 505
Pittsburgh, PA 15235-5505
Phone (412) 349-6300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016006960 | Medicaid | VA | |
| 2177295 | Other | PK | |
| 300012108 | Medicaid | IN | |
| 7100147740 | Medicaid | KY | |
| 1114004082 | Medicaid | IL | |
| 0235504 | Medicaid | NJ | |
| 1018103020001 | Medicaid | PA | |
| 1114004082 | Medicaid | MN | |
| 3810008615 | Medicaid | WV | |
| 2721540 | Medicaid | OH |
Other names 1
- Coordinated Care Network Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- CCN America LP
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1003214214
-
- Community/Retail Pharmacy
- Harrisburg, PA
- NPI 1013470889
-
- Community/Retail Pharmacy
- Pittsburgh, PA
- NPI 1114004082
-
- Specialty Pharmacy
- Philadelphia, PA
- NPI 1043125222
-
- Pharmacy
- Fort Lauderdale, FL
- NPI 1154783561
-
- Pharmacy
- Newark, NJ
- NPI 1164844098
Locations
300 Penn Center Blvd
Ste 405
Pittsburgh, PA 15235
Phone (412) 349-6300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525046400000",
"number": "1194213652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PENN CENTER BLVD STE 505",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152355505",
"telephone_number": "412-349-6300",
"fax_number": "412-349-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PENN CENTER BLVD STE 405",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152355511",
"telephone_number": "412-349-6300",
"fax_number": "412-349-6311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCN AMERICA, LP",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-30",
"last_updated": "2018-04-30",
"status": "A",
"authorized_official_last_name": "POLLACK",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "412-349-6300"
},
"taxonomies": [
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "AL",
"license": "114317",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MN",
"license": "264536",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MI",
"license": "6301010585",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "ME",
"license": "MO40001734",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MD",
"license": "P07388",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "KY",
"license": "PA1463",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "KS",
"license": "22-13060",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "IN",
"license": "64001140A",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "IL",
"license": "054.018830",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "IA",
"license": "4388",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "GA",
"license": "PHNR000903",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "FL",
"license": "PH26057",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "DE",
"license": "A9-0001443",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "DC",
"license": "NRX0000414",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "CT",
"license": "PCN.002683",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016006960",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2177295",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300012108",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100147740",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114004082",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0235504",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018103020001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114004082",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008615",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2721540",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Coordinated Care Network Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.