PHARMACY CORPORATION OF AMERICA (NPI# 1093799843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093799843 |
| Entity Type | Organization |
| Organization Name | PHARMACY CORPORATION OF AMERICA |
| Other Organization Name | PROPAC PAYLESS PHARMACY |
| Practice Address |
111 Se Everett Mall Way Ste A100 Everett WA 98208-3208 |
| Mailing Address |
Po Box 409244 Atlanta GA 30384-9244 |
| Practice Telephone | 5036269436 |
| Practice Fax Number | 8009822730 |
| Mailing Telephone | 8133786274 |
| Mailing Fax Number | 8133186346 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | STEPHEN A LARIVIERE (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 5026277404 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHARMERICA HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHAR.CF60408436 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6024269 | 05 | |
| PK | 2108264 | 01 |
| Other Name | Type Code |
|---|---|
| Propac Payless Pharmacy | Doing Business As Name - Organization |
| PropacPayless Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951210 | Pharmacy Corporation of America | Pharmacy | 6032 Highview Dr Ste C, Fort Wayne, IN 46818-1390 | 2020-01-15 |
| 1407395270 | Pharmacy Corporation of America | Pharmacy | 45 Becker Road, Suite D, West Henrietta, NY 14586-9205 | 2017-02-14 |
| 1184171704 | Pharmacy Corporation of America | Pharmacy | 18110 Se 34th St Bldg 2, Vancouver, WA 98683-9440 | 2016-09-01 |
| 1134587181 | Pharmacy Corporation of America | Pharmacy | 4423 Pheasant Ridge Rd, Suite 205, Roanoke, VA 24014-5299 | 2016-02-05 |
| 1962839910 | Pharmacy Corporation of America | Durable Medical Equipment & Medical Supplies | 4425 Sw 21st St, Oklahoma City, OK 73108-1748 | 2013-10-07 |
| 1982901419 | Pharmacy Corporation of America | Pharmacy | 105 Arc Dr, Saint Louis, MO 63146-3502 | 2011-02-18 |
| 1205133733 | Pharmacy Corporation of America | Pharmacy | 21241 N. 23rd Ave., Phoenix, AZ 85027 | 2011-02-18 |
| 1346571296 | Pharmacy Corporation of America | Pharmacy | 3910 Adler Pl Ste 210, Bethlehem, PA 18017 | 2010-01-15 |
| 1770813644 | Pharmacy Corporation of America | Pharmacy | 2202 Sugar Sweet, Ste E, Weslaco, TX 78599-3759 | 2009-12-28 |
| 1285804229 | Pharmacy Corporation of America | Pharmacy | 505 Hackney Ave, Washington, NC 27889-4230 | 2008-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PHARMACY CORPORATION OF AMERICA | 80 State Street, Albany, New York 12207-2543 |
| Iowa Business Entities | PHARMACY CORPORATION OF AMERICA | 805 N Whittington Pkwy, Louisville, KY 40222 |
| Washington State Corporations | PHARMACY CORPORATION OF AMERICA | 805 N Whittington Pkwy, Louisville, KY 40222-7101 |
| Vermont Business Registrations | PHARMACY CORPORATION OF AMERICA | 1901 Campus Pl, Louisville, KY 40299 |
| Connecticut Business Registrations | PHARMACY CORPORATION OF AMERICA | 1901 Campus Place, Louisville, KY 40299 |
| Oregon Corporations, Companies and Business Names | PHARMACY CORPORATION OF AMERICA | 805 N Whittington Pkwy, Louisville, KY 40222 |
| Virginia Business Entities | PHARMACY CORPORATION OF AMERICA | 805 N Whittington Pkwy, Louisville, Kentucky 40222 |
| Oklahoma Business Registrations | PHARMACY CORPORATION OF AMERICA | 5111 Rogers Ave Ste 40-a, Ft Smith, AR 72919-0155 |
| Massachusetts Corporations | PHARMACY CORPORATION OF AMERICA-MASSACHUSETTS, INC. | 1300 Morris Dr., Chesterbrook, PA 92668 |
| Street Address |
111 SE EVERETT MALL WAY STE A100 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306380001 | Yu Sun Chang | Pharmacist | 111 Se Everett Mall Way, A100, Everett, WA 98208-3208 | 2016-12-14 |
| 1336696962 | Albright Family Dental | Clinic/Center | 111 Se Everett Mall Way, Building D, Everett, WA 98208-3208 | 2016-09-01 |
| 1548615776 | Izabela Wojnarowicz | Pharmacist | 111 Se Everett Mall Way, Everett, WA 98208-3208 | 2016-04-25 |
| 1801216270 | Harlyn Kaur Susarla | Dentist | 111 Se Everett Mall Way, Everett, WA 98208-3208 | 2014-04-23 |
| 1245517622 | Sonu Lamba and Paul S. Kahlon, Ps | Dentist | 111 Se Everett Mall Way, #d, Everett, WA 98208-3208 | 2011-11-14 |
| 1730466095 | Angela Marie Cook | Pharmacist | 111 Se Everett Mall Way, Everett, WA 98208-3208 | 2011-11-14 |
| 1659669521 | Pamela C Pennington | Pharmacist | 111 Se Everett Mall Way, Everett, WA 98208-3208 | 2011-07-13 |
| 1649408964 | Isra T Elrayah | Dentist | 111 Se Everett Mall Way, Building # D, Everett, WA 98208-3208 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1730724105 | Silver Lake Pharmacy Inc | Pharmacy | 10315 19th Ave Se Ste 104, Everett, WA 98208-4268 | 2019-11-09 |
| 1265088462 | Bethany Pharmaceuticals LLC | Pharmacy | 3202 Colby Ave, Everett, WA 98201-4324 | 2019-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316577869 | Ksr Health Care LLC | Pharmacy | 507 W Stevens Ave Ste Aaa, Sultan, WA 98294-9515 | 2020-01-23 |
| 1437708641 | Ets Consulting LLC | Pharmacy | 6007 244th St Sw Ste A1, Mountlake Terrace, WA 98043-5427 | 2019-09-10 |
| 1891341616 | Nwpa Inc | Pharmacy | 21509 State Route 410 E Ste 4, Bonney Lake, WA 98391-4104 | 2019-08-16 |
| 1669033288 | Suncrest Pharmacy Group, LLC | Pharmacy | 5919f Highway 291, Nine Mile Falls, WA 99026 | 2019-06-25 |
| 1750948956 | Lacey Square Pharmacy Inc | Pharmacy | 6020 Pacific Ave Se Ste C, Lacey, WA 98503-1319 | 2019-05-22 |
| 1306338868 | Manhattan Village Pharmacy Inc. | Pharmacy | 10102 E Knox Ave Ste 400, Spokane Valley, WA 99206-4146 | 2018-05-31 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1891167755 | Think Different | Pharmacy | 31710 50th Ln Sw Apt V201, Federal Way, WA 98023-3747 | 2015-10-30 |
| 1104207372 | Prescription Pharmacy Pllc | Pharmacy | 800 Swift Blvd Ste 140, Richland, WA 99352-3559 | 2015-06-14 |
| 1528457728 | Estm Inc | Pharmacy | 133 N Ely St Ste C1, Kennewick, WA 99336-2941 | 2015-01-12 |
| Find all providers with the same taxonomy | ||||
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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.