CCC PHARMACY, LLC (NPI# 1205155744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205155744 |
Entity Type | Organization |
Organization Name | CCC PHARMACY, LLC |
Other Organization Name | FUSIONCARE PHARMACY |
Practice Address |
180 Windermere Blvd Alexandria LA 71303-3535 |
Practice Telephone | 3184458770 |
Practice Fax Number | 3184458979 |
Mailing Telephone | 3184458770 |
Mailing Fax Number | 3184458979 |
Enumeration Date | 2010-05-24 |
Last Update Date | 2016-08-09 |
Authorized Official Name | MR. KEVIN PAUL ROBICHAUX (MANAGER) |
Authorized Official Telephone | 3184458770 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY.006277-IR | LA | Suppliers |
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2200216 | 05 |
Other Name | Type Code |
---|---|
FusionCare Pharmacy | Doing Business As Name - Organization |
Street Address |
180 WINDERMERE BLVD |
City | ALEXANDRIA |
State | LA |
Zip Code | 71303-3535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467755264 | Ccc Pharmacy LLC | Pharmacy | 180 Windermere Blvd, Alexandria, LA 71303-3535 | 2010-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
Find all providers in zip 71303 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912521675 | Duke Pharmacy LLC | Pharmacy | 5130 Duke St Ste 7b, Alexandria, VA 22304-2955 | 2020-05-28 |
1164930335 | Rapides Nursing Services | Pharmacy | 1201 N Bolton Ave Ste E, Suite E, Alexandria, LA 71301-7459 | 2018-01-22 |
1861871865 | Wegmans Food Markets, Inc. | Pharmacy | 7905 Hilltop Village Center Drive, Alexandria, VA 22315 | 2015-05-22 |
1841685591 | Supervalu Pharmacies Inc | Pharmacy | 2612 S Broadway St, Alexandria, MN 56308-3415 | 2015-03-31 |
1861895575 | Family Pharmacy, Inc | Pharmacy | 3612 Forest Dr, Alexandria, VA 22302-1005 | 2014-10-08 |
1821393653 | Cmap Express Pharmacy | Pharmacy | 929 Johnston St, Suite B, Alexandria, LA 71301-7638 | 2011-01-26 |
1962707497 | Alexandria Apothecary Inc. | Pharmacy | 1525 Broadway St Ste 100, Alexandria, MN 56308-3008 | 2011-01-13 |
1952466385 | Alexandria Drugs Inc | Pharmacy | 7857 Us Hwy 27, Alexandria, KY 41001 | 2006-12-26 |
1235201021 | J Chester Long II | Pharmacy | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2006-11-15 |
1871666347 | Brookshire Grocery Company | Pharmacy | 604 Macarthur Dr, Attention Pharmacy Dept, Alexandria, LA 71303-3111 | 2006-11-15 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 71303 |
Please comment or provide details below to improve the information on CCC PHARMACY, LLC.
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.