Ccn America Lp, NPI 1114004082
Community/Retail Pharmacy in Pittsburgh, PA, US

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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 1114004082
NPI Entity Type Organization
Provider Name Ccn America Lp
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 300 Penn Center Blvd, Ste 405, Pittsburgh, PA, US
Provider Mailing Address Po Box 5000, Greensburg, PA, US, 156012117
Is Sole Proprietor? No
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Organization Official

Official Name Thomas Pollack
Official Position PRESIDENT AND CFO
Phone 412-349-6300

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 114317
License State AL
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

Coordinated Care Network Pharmacy
Doing Business As

Business Address

Ccn America Lp
300 Penn Center Blvd
Ste 405

Pittsburgh, PA, US

Phone: 412-349-6337
Fax: 412-349-6311

Mailing Address

Ccn America Lp
Po Box 5000
Greensburg, PA, US
ZIP 156012117
Phone: 412-349-6300
Fax: 412-349-6311

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

A9-0001443 DE No

3336C0003X

Suppliers

Pharmacy

64001140A IN No

3336C0003X

Suppliers

Pharmacy

2013028515 MO No

3336C0003X

Suppliers

Pharmacy

22-13060 KS No

3336C0003X

Suppliers

Pharmacy

92900 FL No

3336C0003X

Suppliers

Pharmacy

5301010585 MI No

3336C0003X

Suppliers

Pharmacy

P07388 MD No

3336C0003X

Suppliers

Pharmacy

PHNR000903 GA No

3336C0003X

Suppliers

Pharmacy

054.018830 IL No

3336C0003X

Suppliers

Pharmacy

MO40001734 ME No

3336C0003X

Suppliers

Pharmacy

PA1463 KY No

3336C0003X

Suppliers

Pharmacy

4388 IA No

3336C0003X

Suppliers

Pharmacy

13674 MS No

3336C0003X

Suppliers

Pharmacy

264536 MN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0235504 NJ MEDICAID 05
1114004082 MN MEDICAID 05
2085919 PK 01
2016006960 VA MEDICAID 05
1018103020001 PA MEDICAID 05
2721540 OH MEDICAID 05
3810008615 WV MEDICAID 05
1114004082 IL MEDICAID 05
7100147740 KY MEDICAID 05
300012108 IN MEDICAID 05

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1194486290

Lycorx Llc

Organization

Pharmacy

33 W 3rd St

Williamsport, PA

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