Organization Active NPI

Ssac, LLC

  • Pharmacy
  • Paducah, KY
National Provider Identifier
1245375336
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SSAC, LLC
Practice address
3524 Park Plaza Rd
Paducah, KY 42001-8900
Phone
(270) 442-4579
Fax
(800) 785-2177
NPI assigned
Feb 20, 2007
Organization subpart
Yes
Parent organization
ARCADIA PRODUCTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Cathy Sparling
Title
VP Administrative Services
Phone
(248) 352-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3524 Park Plaza Rd
Paducah, KY 42001-8900

Mailing address

26777 Central Park Blvd
Suite 200
Southfield, MI 48076-4162
Phone (248) 352-7530

Other identifiers 1

IdentifierTypeStateIssuer
54006077MedicaidKY

Other names 1

  • Arcadia RX Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arcadia Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1245375336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 CENTRAL PARK BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764162",
            "telephone_number": "248-352-7530",
            "fax_number": "248-352-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 PARK PLAZA RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018900",
            "telephone_number": "270-442-4579",
            "fax_number": "800-785-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSAC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCADIA PRODUCTS, INC.",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "SPARLING",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "VP ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "248-352-7530"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54006077",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia RX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.