=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598207318
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACORX LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2016
-----------------------------------------------------
Last Update Date | 06/23/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 441 JANE ST
-----------------------------------------------------
City | CARNEGIE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15106-2046
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-857-2922
-----------------------------------------------------
Fax | 412-857-2919
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 441 JANE ST
-----------------------------------------------------
City | CARNEGIE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15106-2046
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-857-2922
-----------------------------------------------------
Fax | 412-857-2919
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PIC
-----------------------------------------------------
Name | SHAWN NAIRN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-857-2922
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------