Active NPI
Pharmacy Corporation of America
Doing business as Pharmerica
- Long Term Care Pharmacy
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PCY1654
- Legal business name
- PHARMACY CORPORATION OF AMERICA
- Doing business as
- Pharmerica
- Practice address
- 8 Fairfield Blvd Ste 103
Wallingford, CT 06492-1890 - Phone
- (860) 829-6575
- Fax
- (860) 829-4110
- NPI assigned
- Jul 8, 2006
- Last updated
- Feb 13, 2024
- Organization subpart
- Yes
- Parent organization
- PHARMERICA CORPORATION
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Long Term Care Pharmacy | 3336L0003X | PCY1654 | CT | Primary |
Addresses
Primary practice location
8 Fairfield Blvd Ste 103
Wallingford, CT 06492-1890
Mailing address
3802 Corporex Park Dr Ste 150
Tampa, FL 33619-1135
Phone (813) 318-6039
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01552643 | Medicaid | NY | |
| 0716211 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 6160030 | Medicaid | RI | |
| 1016250 | Medicaid | VT | |
| 110021711J | Medicaid | MA | |
| 1015089 | Medicaid | VT | |
| 004126274 | Medicaid | CT | |
| 004128600 | Medicaid | CT | |
| 1841223419 | Medicaid | CT |
Other names 1
- PHARMERICA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043170 | CT | DME Supplier - Pharmacy | 1850381807 | Practice locations: Wallingford, CT |
| O20210325002207 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850381807 | Practice locations: Wallingford, CT |
National Provider Directory
National Provider Directory- Tax ID family
- Pharmacy Corp of Americ
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba OnePoint Patient Care
- Community/Retail Pharmacy
- Wallingford, CT
- NPI 1396578076
Member of 4
Organizations this organization is a member of, according to the National Provider Directory.
-
dba d/b/a PharMerica
- Long Term Care Pharmacy
- Huntington, WV
- NPI 1245275551
Member Of
-
dba PharMerica
- Long Term Care Pharmacy
- Macon, GA
- NPI 1659304228
Member Of
-
dba Pharmerica
- Long Term Care Pharmacy
- Great Falls, MT
- NPI 1811920499
Member Of
Locations
8 Fairfield Blvd
Ste 103
Wallingford, CT 06492
Phone (800) 282-4321
3802 Corporex Park Dr
Ste 150
Tampa, FL 33619
Phone (813) 378-6274
Ownership & related parties
All facility ownership & control disclosures 8
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Heritage at Lowman Rehabilitation and Healthcare | Skilled nursing facility | Adp of the SNF | Oct 31, 2013 |
| Maplewood Center | Skilled nursing facility | Adp of the SNF | Jan 31, 2019 |
| Rice Estate Rehabilitation and Healthcare | Skilled nursing facility | Adp of the SNF | Oct 31, 2013 |
| Sharon Care Center | Skilled nursing facility | Adp of the SNF | Jan 1, 2023 |
| Camden National Bank | Skilled nursing facility | Adp of the SNF | Jan 1, 2022 |
| Pharmerica | Skilled nursing facility | Adp of the SNF | Jan 25, 2017 |
| Ashford Hall | Skilled nursing facility | Adp of the SNF | Sep 29, 2015 |
| Kau Hospital | Skilled nursing facility | Operational/Managerial Control | Feb 4, 2025 |
NPI Registry JSON
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": "1841223419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 CORPOREX PARK DR STE 150",
"city": "TAMPA",
"state": "FL",
"postal_code": "336191135",
"telephone_number": "813-318-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 FAIRFIELD BLVD STE 103",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921890",
"telephone_number": "860-829-6575",
"fax_number": "860-829-4110"
}
],
"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": "CT",
"license": "PCY1654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01552643",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0716211",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6160030",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016250",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110021711J",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015089",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004126274",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004128600",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841223419",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHARMERICA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PHARMERICA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wallingford, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.