Pharmacy Corporation of America

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY48700 Issued in CA

Legal business name

PHARMACY CORPORATION OF AMERICA

Doing business as

Pharmerica

Practice address

4910 E Ashlan Ave
Suite 111
Fresno, CA 93726-3021

Phone

(800) 499-9079

Fax

(559) 294-3879

NPI assigned

Jul 8, 2006

Last updated

Feb 13, 2024By the provider in NPPES

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 3

Addresses

Other identifiers 2

Other names 1

• PHARMERICA Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Pharmacy Corporation of America

  dba Pharmerica

  • Long Term Care Pharmacy
  • Union City, CA
  • NPI 1679506240

  O20210223000705

  Same enrollment

These 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

Tax ID family

Pharmacy Corp of Americ58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Pharmacy Corporation of America

  dba PharMerica

  • Durable Medical Equipment & Medical Supplies
  • Cypress, CA
  • NPI 1326064213
  NPD tax ID
• Pharmacy Corporation of America

  dba Pharmerica

  • Long Term Care Pharmacy
  • Union City, CA
  • NPI 1679506240
  NPD tax ID

Member of 4

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

• Continuumcare Pharmacy LLC

  dba d/b/a PharMerica

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

  Member Of

  NPD member
• Insta-Care Pharmacy Services Corporation

  dba PharMerica

  • Long Term Care Pharmacy
  • Macon, GA
  • NPI 1659304228

  Member Of

  NPD member
• Pharmerica Long-Term Care LLC

  dba Pharmerica

  • Long Term Care Pharmacy
  • Great Falls, MT
  • NPI 1811920499

  Member Of

  NPD member
• Walgreen Co

  dba Walgreens #07319

  • Pharmacy
  • Adrian, MI
  • NPI 1487669529

  Member Of

  NPD member

All facility ownership & control disclosures 8

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pharmerica

  • Skilled Nursing Facility
  • Danville, CA
  • NPI 1346642139
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah C Hinkle, CPHT

  • Pharmacy Technician
  • Fresno, CA
  • NPI 1124785605
  NPD (past)
• Diane Lima, PHARM.D.

  • Pharmacist
  • Fresno, CA
  • NPI 1033658141
  NPD (past)

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": "1205869872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CORPOREX PARK DR",
            "address_2": "STE 150",
            "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": "4910 E ASHLAN AVE",
            "address_2": "SUITE 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263021",
            "telephone_number": "800-499-9079",
            "fax_number": "559-294-3879"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY46053",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY48700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA460530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0591277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMERICA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHARMERICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jim Pedram Phanucharas, M.D.
• Regina Sih Phanucharas, PHARM.D.
• Villa Phanvong
• Pukan Phaoudom
• Tyler W Pharis, OTR/L
• Pharmkee, Inc. (Community Medical Arts Pharmacy)
• Phase Care, Inc
• Joanna Toukta Phavongxai
• Lavantre Phavorachith
• Kathryn Phebus

• Long Term Care Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Long Term Care Pharmacy in California

• 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.

Verify at the official NPI Registry.