Pharmacy Corporation of America

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

P06708 Issued in KY

Legal business name

PHARMACY CORPORATION OF AMERICA

Practice address

12100 Plantside Dr
Louisville, KY 40299-6343

Phone

(800) 662-7085

Fax

(800) 395-6972

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 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

Locations

All facility ownership & control disclosures 8

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

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": "1558394122",
    "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": "12100 PLANTSIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996343",
            "telephone_number": "800-662-7085",
            "fax_number": "800-395-6972"
        }
    ],
    "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P06708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1823207",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5402917800",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026930A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200543480A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000683400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1823207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Phan
• Pharm-Save, Inc. (Neil Medical Group)
• Pharmacogenetics Diagnostic Laboratory LLC (PGXL Laboratories)
• Pharmacord LLC
• Pharmacy Alternatives LLC (Pharmacy Alternatives)
• Pharmassist
• Phase Behavioral LLC
• PHC Buyer, LLC
• PHC-Cleveland LLC (Bolivar Medical Center)
• Alec Marshall Phelps

• Long Term Care Pharmacy in Louisville, KY
• Providers in Louisville, KY by specialty
• Long Term Care Pharmacy in Kentucky

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

Verify at the official NPI Registry.