PCA-CORRECTIONS LLC (NPI# 1083849640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083849640 |
Entity Type | Organization |
Organization Name | PCA-CORRECTIONS LLC |
Other Organization Name | CURO PHARMACY |
Practice Address |
4665 44th St Se Ste A1106 Grand Rapids MI 49512-4052 |
Practice Telephone | 6169779700 |
Practice Fax Number | 6168550937 |
Mailing Telephone | 6169779700 |
Mailing Fax Number | 6168550937 |
Enumeration Date | 2009-05-26 |
Last Update Date | 2016-03-18 |
Authorized Official Name | CELINA ROBINSON (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Telephone | 5022662558 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5301009951 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2137979 | 01 |
Other Name | Type Code |
---|---|
Curo Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639608458 | Pca-corrections LLC | Pharmacy | 5925 W 71st St Ste B, Indianapolis, IN 46278-2713 | 2017-06-06 |
1811183718 | Pca-corrections LLC | Pharmacy | 9818 Windisch Rd, West Chester, OH 45069-3806 | 2007-09-25 |
1548231293 | Pca-corrections LLC | Pharmacy | 2701 Chestnut Station Ct, Louisville, KY 40299-6395 | 2006-01-31 |
Street Address |
4665 44TH ST SE STE A1106 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49512-4052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
Find all providers in zip 49512 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225688229 | Guardian Pharmacy of Grand Rapids, LLC | Pharmacy | 2930 29th St Se, Grand Rapids, MI 49512-1723 | 2019-09-12 |
1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
1093229361 | Horizon Pharmacy Ltc, LLC | Pharmacy | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2017-11-25 |
1437252475 | Tcpi Acquisition LLC | Pharmacy | 3650 Broadmoor Ave Se, Suite 108, Grand Rapids, MI 49512-3925 | 2006-09-06 |
1356981922 | Home Town Pharmacy Inc | Pharmacy | 4252 Kalamazoo Ave Se, Grand Rapids, MI 49508-3607 | 2020-01-13 |
1093819229 | State of Michigan | Pharmacy | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2006-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437772159 | Krx Medication Consultants | Pharmacy | 8266 Fernwood St, Augusta, MI 49012 | 2020-05-28 |
1235751306 | Ypsilanti Family Pharmacy, Inc. | Pharmacy | 2287 Ellsworth Rd Ste A, Ypsilanti, MI 48197-4805 | 2020-05-12 |
1366082935 | Home Town Pharmacy Inc | Pharmacy | 1114 W South Airport Rd, Traverse City, MI 49686-4739 | 2020-01-13 |
1619510328 | Great Lakes Pharmacies I Inc | Pharmacy | 6213 Chicago Rd Ste 200, Warren, MI 48092-1697 | 2019-10-25 |
1710520143 | H & L Drugs Inc | Pharmacy | 1455 S Lapeer Rd Ste 101, Lake Orion, MI 48360-1468 | 2019-10-17 |
1457905259 | Senior Care Rx LLC | Pharmacy | 24293 Telegraph Rd Ste 130, Southfield, MI 48033-7924 | 2019-07-30 |
1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
1457812117 | Pharmtek LLC | Pharmacy | 3307 Orchard Lake Rd, Keego Harbor, MI 48320-1308 | 2019-03-26 |
1801350772 | Prestige Specialty Pharmacy 2 | Pharmacy | 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 | 2019-01-24 |
1194296707 | Palmer Ltc Pharmacy LLC | Pharmacy | 4020 Venoy Rd Ste 900b, Wayne, MI 48184-4818 | 2018-12-07 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49512 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.