LCPS Acquisition, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LCPS ACQUISITION, LLC

Doing business as

Omnicare of Prescott #48206

Practice address

930 12TH PL
Prescott, AZ 86305-1436

Phone

(928) 776-9939

NPI assigned

Jun 15, 2006

Reactivated

Feb 29, 2024

Last updated

Feb 29, 2024By 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

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of Prescott #48206 Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• LCPS Acquisition, LLC

  dba Omnicare of Chandler #48205

  • Long Term Care Pharmacy
  • Chandler, AZ
  • NPI 1568407468

  O20150713000659

  Same enrollment

Member of 2

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

• CVS Pharmacy Inc

  dba CVS Pharmacy # 05874

  • Pharmacy
  • Boston, MA
  • NPI 1821197120

  Member Of

  NPD member
• Omnicare Pharmacy of Tennessee, LLC

  dba Omnicare of Tennessee #48345

  • Long Term Care Pharmacy
  • Cleveland, TN
  • NPI 1083644090

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Neighborcare Pharmacy Services, LLC

  dba Omnicare of San Antonio #48357

  • Long Term Care Pharmacy
  • San Antonio, TX
  • NPI 1174559694

  Member Of

  NPD member
• Omnicare Pharmacy of Tennessee, LLC

  dba Omnicare of Tennessee #48345

  • Long Term Care Pharmacy
  • Cleveland, TN
  • NPI 1083644090

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel M Fenwick, PHARMACIST

  • Pharmacist
  • Chandler, AZ
  • NPI 1932806643
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1841234689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 12TH PL",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051436",
            "telephone_number": "928-776-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCPS ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-02-29",
        "deactivation_date": "2024-02-20",
        "reactivation_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Prescott #48206",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Gayle Lawlor, DO
• Mary Ellen Lawrence, M.D.
• Murray Lawson, D.C.
• Margaret Elizabeth Layton, RDH
• Linda Gaynell Lazarz, PHARMACIST
• Phung Ngoc Le, D.O.
• Leading Edge Healthcare, PLLC
• Keegan L Leavell, LMT
• David Lebeau Jr.
• Cheri L Ledsome, FNP-C, PMHNP-BC

• Long Term Care Pharmacy in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.