Pharmacy Corporation of America

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2575 Issued in NE

Legal business name

PHARMACY CORPORATION OF AMERICA

Doing business as

PHARMERICA

Practice address

6528 S 118TH St
Omaha, NE 68137-3577

Phone

(888) 895-7133

Fax

(877) 275-6020

NPI assigned

Jul 8, 2006

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 2

Addresses

Other identifiers 4

Other names 1

• PHARMERICA Doing business as

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

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

Tax ID family

Beverly Enterrises58 organizations share this tax ID, including this one

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

• Continuumcare Pharmacy LLC

  • Long Term Care Pharmacy
  • Huntington, WV
  • NPI 1245275551

  Member Of

  NPD member
• Insta-Care Pharmacy Services Corporation

  • Long Term Care Pharmacy
  • San Antonio, TX
  • NPI 1528091105

  Member Of

  NPD member
• Pharmerica Long-Term Care LLC

  • Long Term Care Pharmacy
  • El Paso, TX
  • NPI 1073546651

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Menomonie, WI
  • NPI 1962417048

  Member Of

  NPD member

All facility ownership & control disclosures 8

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

Practitioners 2

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

• Brandt Hodoly, PHARM D

  • Pharmacist
  • Omaha, NE
  • NPI 1346789468
  NPD (past)
• Angela Krenzer, PHARMD

  • Pharmacist
  • Omaha, NE
  • NPI 1154912087
  NPD (past)

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": "1720011307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CORPOREX PARK DR",
            "address_2": "STE 200",
            "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": "6528 S 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373577",
            "telephone_number": "888-895-7133",
            "fax_number": "877-275-6020"
        }
    ],
    "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "2575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0969642",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720011307",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2810768",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720011307",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMERICA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHARMERICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuyet L Pham, D.O.
• Phamilyoriented LLC
• Kim-Dung Phan, PHARMD
• Luan Phan, PHARMD
• Ngoc-Thao Thi Phan, PHARMD
• Pharmacy Express Services Inc
• Pharmacy Express Services Inc
• Pharmacy Express Services Inc
• Pharmacy Express Services Inc.
• Pharmacy Express Services Inc.

• Long Term Care Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Long Term Care Pharmacy in Nebraska

• 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.

Verify at the official NPI Registry.