Pharmacy Corporation of America

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY580 Issued in HI

Legal business name

PHARMACY CORPORATION OF AMERICA

Practice address

1900 Main St
Suite 3
Wailuku, HI 96793-1900

Phone

(808) 249-2113

Fax

(808) 249-8082

NPI assigned

Jul 11, 2006

Organization subpart

Yes

Parent organization

PHARMERICA CORPORATIONAs reported in NPPES

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 2

Addresses

Other identifiers 2

Other names 1

• PHARMERICA Doing business as

Medicare fee-for-service enrollment

Enrolled in HI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Lihue, HI
  • NPI 1003849670

  O20210216002949

  Same enrollment
• Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Honolulu, HI
  • NPI 1477586048

  O20210216002949

  Same enrollment
• Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Hilo, HI
  • NPI 1740213313

  O20210216002949

  Same enrollment

Member of 4

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

• Continuumcare Pharmacy LLC

  • Long Term Care Pharmacy
  • Huntington, WV
  • NPI 1245275551

  Member Of

  NPD member
• Insta-Care Pharmacy Services Corporation

  • Long Term Care Pharmacy
  • San Antonio, TX
  • NPI 1528091105

  Member Of

  NPD member
• Pharmerica Long-Term Care LLC

  • Long Term Care Pharmacy
  • El Paso, TX
  • NPI 1073546651

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Menomonie, WI
  • NPI 1962417048

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Brown, RPH, MBA

  • Pharmacist
  • Wailuku, HI
  • NPI 1740720747
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1194750133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409244",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "address_2": "SUITE 3",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931900",
            "telephone_number": "808-249-2113",
            "fax_number": "808-249-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CORPORATION OF AMERICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMERICA CORPORATION",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-02-14",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "HI",
            "license": "PHY580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08013401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1203621",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMERICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick E Hamilton MD Inc
• Sasha Pavlovich, M.D.,PH.D.
• Amara Pederson
• Giselle Peterson
• Chevaun Brooks Petropulos
• Pharmacy Corporation of America
• Alayna Rachelle Pierce, PT, DPT
• Heather M Pietras
• Piha Wellness and Healing
• Tia Pilikian, PA-C

• Long Term Care Pharmacy in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Long Term Care Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.