PMC Ohio, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PMC OHIO, LLC

Practice address

24165 Detroit Road
Westlake, OH 44145

Phone

(440) 617-7646

Fax

(440) 617-1815

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Thomas A Caneris

Title

Vice President & Secretary

Phone

(502) 627-7000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pharmerica Doing business as

Locations

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1871596460",
    "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": "24165 DETROIT ROAD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-617-7646",
            "fax_number": "440-617-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "CANERIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "502-627-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275566853",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007739010023",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0895536",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmerica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Ann Pisegna, MA CC/SLP
• Cameron Mary Plagens, MAATR
• Enkelejda Plasa, M.D.
• Jessica Lynn Platt, LPCC-S
• Randy Peter Plona, MD
• Barbara Pollack-Rincon, LSW
• Cambria May Pollmann
• Timothy Porco, PT
• Hannah Lynn Porter
• Jasmine Potchatek, RN

• Long Term Care Pharmacy in Westlake, OH
• Providers in Westlake, 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 Aug 16, 2018; 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.