Pca-Corrections LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

021700300 Issued in OH

Legal business name

PCA-CORRECTIONS LLC

Doing business as

Pca Pharmacy

Practice address

9818 Windisch Rd
West Chester, OH 45069-3806

Phone

(513) 530-1636

Fax

(513) 530-1698

NPI assigned

Sep 25, 2007

Last updated

Jul 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Wren

Title

Pic

Phone

(513) 530-1636

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PCA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1811183718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 WINDISCH RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693806",
            "telephone_number": "513-530-1636",
            "fax_number": "513-530-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9818 WINDISCH RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693806",
            "telephone_number": "513-530-1636",
            "fax_number": "513-530-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA-CORRECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "513-530-1636"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "021700300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081076",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2721095",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in West Chester, OH
• Providers in West Chester, OH by specialty
• Long Term Care Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.