Pharmacy Corporation of America

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

OS02658 Issued in AR

Legal business name

PHARMACY CORPORATION OF AMERICA

Doing business as

PharMerica

Practice address

207 W 1St St
Sand Springs, OK 74063-7235

Phone

(855) 444-5387

Fax

(855) 999-9424

NPI assigned

Sep 8, 2014

Organization subpart

Yes

Parent organization

PHARMERICA HOLDINGS, INC.As 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 1

Other names 1

• PharMerica Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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
  • Oklahoma City, OK
  • NPI 1962839910

  O20210203000289

  Same enrollment

Tax ID family

Rush Pharmacy58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

  • Long Term Care Pharmacy
  • Oklahoma City, OK
  • NPI 1962839910
  NPD tax ID

Locations

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1417358516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 1ST ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637235",
            "telephone_number": "855-444-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 1ST ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637235",
            "telephone_number": "855-444-5387",
            "fax_number": "855-999-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CORPORATION OF AMERICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMERICA HOLDINGS, INC.",
        "enumeration_date": "2014-09-08",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "2-6859",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "OS02658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "2-9230",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oscar Padron
• David R Parker, LPC
• Brian Dale Patten, DDS
• Tina Marie Patterson
• Tanisha Penn Moore, LADC
• Caroline Phillips Ryan
• Phoenix Residential Services (Ellen Bee Home Care)
• Barbara Barger Pinkerton, LPC
• Jami D Pittman, A.R.N.P.
• Cassie D Place

• Long Term Care Pharmacy in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Long Term Care Pharmacy in Oklahoma

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.