MEDICARE: PHARMACY CORPORATION OF AMERICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	2796	MA
2	3336C0003X	Community/Retail Pharmacy
3	3336L0003X	Long Term Care Pharmacy	3599	MA
4	332B00000X	Durable Medical Equipment & Medical Supplies
5	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
6	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2235112	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558394130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY CORPORATION OF AMERICA

Provider Business Mailing Address
First Line	:	3802 CORPOREX PARK DR STE 150
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-1135
Country	:	US
Telephone Number	:	813-318-6039
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 MYLES STANDISH BLVD STE 104
Second Line	:
City	:	TAUNTON
State	:	MA
Zip	:	02780-7387
Country	:	US
Telephone Number	:	508-427-5000
Fax Number	:	508-587-3645

Authorized Official
Title or Position	:	SECRETARY
Name	:	ALLISON L. BROWN
Credential	:
Telephone Number	:	502-630-7429

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	02/13/2024

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MEDICARE: PHARMACY CORPORATION OF AMERICA

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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