CCC PHARMACY LLC (NPI# 1467755264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467755264 |
| 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 | 2010-12-16 |
| Last Update Date | 2016-01-20 |
| 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-0622IR | LA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PHY006277-IR | LA | 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 |
|---|---|---|---|---|
| 1205155744 | Ccc Pharmacy, LLC | Pharmacy | 180 Windermere Blvd, Alexandria, LA 71303-3535 | 2010-05-24 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884171 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 2633 Jefferson St Ste 601, Alexandria, MN 56308-4010 | 2019-01-11 |
| 1649746793 | Iweartec Corporation | Durable Medical Equipment & Medical Supplies | 8108 Wingfield Pl, Alexandria, VA 22308-1416 | 2018-10-16 |
| 1982179040 | Aeroflow Urology, LLC | Durable Medical Equipment & Medical Supplies | 2616 Sherwood Hall Ln Ste 300, Alexandria, VA 22306-3154 | 2018-10-04 |
| 1144709197 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 4650 Eisenhower Ave Unit 1144, Alexandria, VA 22304-4804 | 2018-08-10 |
| 1013420710 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2441 Eisenhower Ave, Alexandria, VA 22314-4684 | 2017-11-16 |
| 1144739988 | Kelly Cove Inc | Durable Medical Equipment & Medical Supplies | 3110 Mount Vernon Ave Apt 1206, Alexandria, VA 22305-2654 | 2017-09-25 |
| 1184166688 | Erirose Medical Supplies | Durable Medical Equipment & Medical Supplies | 8332 Richmond Hwy Ste 204, Alexandria, VA 22309-2341 | 2016-11-15 |
| 1831649698 | Eric Akumah | Durable Medical Equipment & Medical Supplies | 8332 Richmond Hwy Ste 203, Alexandria, VA 22309-2341 | 2016-10-05 |
| 1588111553 | Medlling LLC | Durable Medical Equipment & Medical Supplies | 658 South Columbus Street, Alexandria, VA 22314-4156 | 2016-09-07 |
| 1629420005 | Vital Medical Equipment | Durable Medical Equipment & Medical Supplies | 6399 Little River Tpke, Ste 201, Alexandria, VA 22312-5093 | 2016-07-08 |
| 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.