Organization Active NPI

PCC Acquisition Company , LLC

  • Long Term Care Pharmacy
  • Aurora, CO
National Provider Identifier
1790095412
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PCC ACQUISITION COMPANY , LLC
Practice address
480 S Chambers Rd
Aurora, CO 80017-2092
Phone
(800) 788-8844
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Jonathan Kukulski
Title
Corporate Secretary
Phone
(513) 719-2600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

480 S Chambers Rd
Aurora, CO 80017-2092

Mailing address

201 E 4TH St
900 Omnicare Center
Cincinnati, OH 45202-4248

Other names 1

  • Omnicare of Aurora Doing business as

National Provider Directory

National Provider Directory

Locations

480 S Chambers Rd
Aurora, CO 80017
Phone (303) 343-6383

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1790095412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 4TH ST",
            "address_2": "900 OMNICARE CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800172092",
            "telephone_number": "800-788-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCC ACQUISITION COMPANY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "KUKULSKI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "513-719-2600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Aurora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.