Healthcare Provider Details

I. General information

NPI: 1285804229
Provider Name (Legal Business Name): PHARMACY CORPORATION OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2008
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 CHERRY RUN RD
WASHINGTON NC
27889
US

IV. Provider business mailing address

PO BOX 409244
ATLANTA GA
30384-9244
US

V. Phone/Fax

Practice location:
  • Phone: 252-946-2425
  • Fax: 252-946-2095
Mailing address:
  • Phone: 813-537-8062
  • Fax: 813-318-6346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number10027
License Number StateNC

VIII. Authorized Official

Name: ALLISON L. BROWN
Title or Position: SECRETARY
Credential:
Phone: 502-630-7429