Active NPI
Pharmacy Corporation of America
Doing business as PharMerica
- Long Term Care Pharmacy
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PHARMACY CORPORATION OF AMERICA
- Doing business as
- PharMerica
- Practice address
- 4425 SW 21St St
Oklahoma City, OK 73108-1748 - Phone
- (866) 209-2178
- Fax
- (855) 217-7498
- NPI assigned
- Oct 7, 2013
- Last updated
- Nov 2, 2020
- 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
- Mr. Steven S. Reed
- Title
- Vice President
- Phone
- (502) 394-2100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 9999999 | OK | |
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
4425 SW 21St St
Oklahoma City, OK 73108-1748
Mailing address
3802 Corporex Park Dr Ste 150
Tampa, FL 33619-1135
Phone (813) 318-6271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200035360L | Medicaid | OK |
Other names 1
- PharMerica
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140116001222 | OK | DME Supplier - Pharmacy | 1850381807 | Practice locations: Oklahoma City, OK |
| O20210203000289 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850381807 |
1 other NPI on this enrollment Practice locations: Oklahoma City, OK; Sand Springs, OK |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba PharMerica
- Long Term Care Pharmacy
- Sand Springs, OK
- NPI 1417358516
O20210203000289
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmerica | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
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 PharMerica
- Long Term Care Pharmacy
- Sand Springs, OK
- NPI 1417358516
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
4425 SW 21st St
Oklahoma City, OK 73108
Phone (800) 822-4607
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 |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Oklahoma City, OK
- NPI 1902345002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604275200000",
"number": "1962839910",
"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": "813-318-6271",
"fax_number": "813-318-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 SW 21ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731081748",
"telephone_number": "866-209-2178",
"fax_number": "855-217-7498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-07",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "502-394-2100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OK",
"license": "9999999",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200035360L",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PharMerica",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PharMerica",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.