Organization Active NPI

Pharmacy Corporation of America

Doing business as Ascribe

  • Long Term Care Pharmacy
  • Phoenix, AZ
National Provider Identifier
1205133733
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
Y005808 Issued in AZ
Legal business name
PHARMACY CORPORATION OF AMERICA
Doing business as
Ascribe
Practice address
21241 N. 23Rd Ave.
Phoenix, AZ 85027
Phone
(855) 482-1441
Fax
(855) 583-3477
NPI assigned
Feb 18, 2011
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Thomas A Caneris
Title
Vice President
Phone
(502) 627-7100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Pharmacy 333600000X Y005978 AZ
Long Term Care Pharmacy 3336L0003X Y005808 AZ Primary

Addresses

Primary practice location

21241 N. 23Rd Ave.
Phoenix, AZ 85027

Mailing address

P.O. Box 409244
Atlanta, GA 30384-9244
Phone (813) 378-6274

Other identifiers 1

IdentifierTypeStateIssuer
2128904OtherPK

Other names 1

  • Ascribe Doing business as

National Provider Directory

National Provider Directory

Member of 4

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

Locations

21241 N 23rd Ave
Phoenix, AZ 85027
Phone (855) 482-1441

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1205133733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 409244",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849244",
            "telephone_number": "813-378-6274",
            "fax_number": "817-756-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21241 N. 23RD AVE.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "855-482-1441",
            "fax_number": "855-583-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "CANERIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-627-7100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y005978",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y005808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascribe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.