Active NPI
Pharmacy Corporation of America
- Long Term Care Pharmacy
- Eugene, OR
National Provider Identifier
1629634217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PHARMACY CORPORATION OF AMERICA
- Practice address
- 2920 Chad Dr
Eugene, OR 97408-7343 - Phone
- (503) 626-9436
- Fax
- (844) 308-3027
- NPI assigned
- May 20, 2019
- Organization subpart
- Yes
- Parent organization
- PHARMERICA HOLDINGS, INC.
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
2920 Chad Dr
Eugene, OR 97408-7343
Mailing address
3802 Corporex Park Dr Ste 150
Tampa, FL 33619-1135
Phone (813) 318-6039
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP-0002006-CS | Other | OR | BOARD OF PHARMACY |
| 500764100 | Medicaid | OR | |
| IP-0001818-CS | Other | OR | BOARD OF PHARMACY |
Other names 1
- PharMerica
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200318002056 | OR | DME Supplier - Pharmacy | 1850381807 | Practice locations: Eugene, OR |
| O20210329000508 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850381807 | Practice locations: Eugene, OR |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmerica | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Beverly Enterrises
Member of 4
Organizations this organization is a member of, according to the National Provider Directory.
-
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1528091105
Member Of
Ownership & related parties
All facility ownership & control disclosures 8
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Heritage at Lowman Rehabilitation and Healthcare | Skilled nursing facility | Adp of the SNF | Oct 31, 2013 |
| Maplewood Center | Skilled nursing facility | Adp of the SNF | Jan 31, 2019 |
| Rice Estate Rehabilitation and Healthcare | Skilled nursing facility | Adp of the SNF | Oct 31, 2013 |
| Sharon Care Center | Skilled nursing facility | Adp of the SNF | Jan 1, 2023 |
| Camden National Bank | Skilled nursing facility | Adp of the SNF | Jan 1, 2022 |
| Pharmerica | Skilled nursing facility | Adp of the SNF | Jan 25, 2017 |
| Ashford Hall | Skilled nursing facility | Adp of the SNF | Sep 29, 2015 |
| Kau Hospital | Skilled nursing facility | Operational/Managerial Control | Feb 4, 2025 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1629634217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 CORPOREX PARK DR STE 150",
"city": "TAMPA",
"state": "FL",
"postal_code": "336191135",
"telephone_number": "813-318-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 CHAD DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974087343",
"telephone_number": "503-626-9436",
"fax_number": "844-308-3027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY CORPORATION OF AMERICA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHARMERICA HOLDINGS, INC.",
"enumeration_date": "2019-05-20",
"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": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "RP-0002006-CS",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500764100",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "IP-0001818-CS",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PharMerica",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eugene, OR
Sources for this page
- 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.