Active NPI
PCC Acquisition Company , LLC
- Long Term Care Pharmacy
- Aurora, CO
National Provider Identifier
1790095412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.