NPI Code Detail JSON Logo

1013696053 NPI number — PHARMACY CORPORATION OF AMERICA

NPI Number: 1013696053
Health Care Provider/Practitioner: PHARMACY CORPORATION OF AMERICA

Information about “1013696053” NPI (PHARMACY CORPORATION OF AMERICA) exists in 1013696053 in HTML format HTML  |  1013696053 in plain Text format TXT  |  1013696053 in PDF (Portable Document Format) PDF  |  1013696053 in an XML format XML  formats.

NPI Number : 1013696053 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013696053",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PHARMERICA HOLDINGS, INC.",
    "ParentOrgTIN": null,
    "OrgName": "PHARMACY CORPORATION OF AMERICA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 409244",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30384-9244",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-378-6274",
    "MailingAddressFaxNumber": "813-318-6346",
    "FirstLinePracticeLocationAddress": "8600 SKYLINE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75243-4198",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-355-9082",
    "PracticeLocationAddressFaxNumber": "214-355-9037",
    "EnumerationDate": "07/17/2023",
    "LastUpdateDate": "02/13/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BROWN",
    "AuthorizedOfficialFirstName": "ALLISON",
    "AuthorizedOfficialMiddleName": "L.",
    "AuthorizedOfficialTitle": "SECRETARY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "502-630-7429",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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