Active NPI
Ssac, LLC
- Pharmacy
- Paducah, KY
National Provider Identifier
1245375336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54006077 | Medicaid | KY |
Other names 1
- Arcadia RX Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Arcadia Home
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Jackson, KY
- NPI 1881843407
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1922259654
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.