Organization Active NPI

Pca-Corrections LLC

  • Long Term Care Pharmacy
  • Indianapolis, IN
National Provider Identifier
1639608458
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
60006609A Issued in IN
Legal business name
PCA-CORRECTIONS LLC
Practice address
7172 Lakeview Parkway West Dr
Indianapolis, IN 46268-4104
Phone
(866) 308-2312
Fax
(866) 936-1517
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Cristina Pietrowski
Title
Evp, Chief Legal Officer & Secretar
Phone
(502) 412-5847

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X 60006609A IN Primary

Addresses

Primary practice location

7172 Lakeview Parkway West Dr
Indianapolis, IN 46268-4104

Mailing address

303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5158
Phone (800) 445-8917

Other identifiers 1

IdentifierTypeStateIssuer
2169267OtherPK

Other names 1

  • Synchrony Indianapolis Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201013002264 IN Part B Supplier - Mass Immunization (Roster Biller Only) 8527085497 1 other NPI on this enrollment
Practice locations: Indianapolis, IN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Pca-Corrections LLC7172 Lakeview Parkway West Dr, Indianapolis, IN 46268-4104(317) 614-6182 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) Accepts assignmentParticipating since Nov 1, 2005

National Provider Directory

National Provider Directory

Locations

5925 W 71st St
Indianapolis, IN 46278
Phone (317) 614-6182

5925 W 71st St
Ste B
Indianapolis, IN 46278
Phone (317) 614-6182

7172 Lakeview Parkway West Dr
Indianapolis, IN 46268
Phone (800) 445-8917

7172 Lakeview Pkwy W Dr
Cleveland, OH 44194

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1639608458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N HURSTBOURNE PKWY STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225158",
            "telephone_number": "800-445-8917",
            "fax_number": "800-445-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7172 LAKEVIEW PARKWAY WEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684104",
            "telephone_number": "866-308-2312",
            "fax_number": "866-936-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA-CORRECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "PIETROWSKI",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "EVP, CHIEF LEGAL OFFICER & SECRETAR",
        "authorized_official_telephone_number": "502-412-5847"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60006609A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synchrony Indianapolis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.