Pharmacy Corporation Of America, NPI 1093748675
Long Term Care Pharmacy in Jackson, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1093748675 |
| NPI Entity Type | Organization |
| Provider Name |
Pharmacy Corporation Of America
Doing Business As |
| Subpart of Organization | Pharmerica Corporation |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 950 W County Line Rd Ste 100, Jackson, MS, US |
| Provider Mailing Address | 3802 Corporex Park Dr Ste 150, Tampa, FL, US, 336191135 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Steven S. Reed |
| Official Position | VICE PRESIDENT |
| Phone | 502-394-2100 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Long Term Care Pharmacy |
| Classification | |
| Group | |
| License No. | 02191/02.3 |
| License State | MS |
| Description | A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00030230 | MS | MEDICAID | 05 |
| 2500937 | OTHER ID NUMBER-COMMERCIAL NUMBER | 01 |
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