PCA-CORRECTIONS LLC (NPI# 1639608458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639608458 |
| Entity Type | Organization |
| Organization Name | PCA-CORRECTIONS LLC |
| Other Organization Name | PCA PHARMACY |
| Practice Address |
5925 W 71st St Ste B Indianapolis IN 46278-2713 |
| Practice Telephone | 8004458917 |
| Practice Fax Number | 8004458918 |
| Mailing Telephone | 8004458917 |
| Mailing Fax Number | 8004458918 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ANDREW TSAPATSARIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5022662523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
60006609A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2169267 | 01 |
| Other Name | Type Code |
|---|---|
| PCA PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083849640 | Pca-corrections LLC | Pharmacy | 4665 44th St Se Ste A1106, Grand Rapids, MI 49512-4052 | 2009-05-26 |
| 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 |
5925 W 71ST ST STE B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248738 | Jason Deyoung | Pharmacist | 5925 W 71st St Ste B, Indianapolis, IN 46278-2713 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| 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 |
|---|---|---|---|---|
| 1669030102 | Meds To You LLC | Pharmacy | 8250 Bash St Ste A3, Indianapolis, IN 46250-1938 | 2019-05-30 |
| 1174091557 | Rubicon Dtp, LLC | Pharmacy | 5751 W 73rd St # A, Indianapolis, IN 46278-1741 | 2018-11-05 |
| 1235388356 | Prairestone Pharmacy LLC | Pharmacy | 9320 Priority Way West Dr, Indianapolis, IN 46240-1468 | 2008-09-12 |
| 1760048755 | Rubicon Dtp, LLC | Pharmacy | 5751 W 73rd St # A, Indianapolis, IN 46278-1741 | 2019-05-15 |
| 1780151191 | Extended Pharmacy 2 LLC | Pharmacy | 9240 N Meridian St, Indianapolis, IN 46260-1880 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437609 | Damasius Inc | Pharmacy | 6949 Kennedy Ave Ste C, Hammond, IN 46323-2245 | 2020-05-05 |
| 1568099703 | In Touch of Indy, LLC | Pharmacy | 851 Columbia Rd Ste 190, Plainfield, IN 46168-7587 | 2020-03-26 |
| 1083188973 | Circle City Pharmacy, LLC | Pharmacy | 65 E Garner Rd Ste 200, Brownsburg, IN 46112-7867 | 2019-01-14 |
| 1962870295 | Pca Corrections LLC | Pharmacy | 1740 Williamsburg Dr Ste A, Jeffersonville, IN 47130-8066 | 2015-09-03 |
| 1407235013 | Cppltc LLC | Pharmacy | 482 W Navajo St Ste B, West Lafayette, IN 47906-1940 | 2015-05-28 |
| 1871986596 | N&m Investments | Pharmacy | 30 S Water St Ste B, Franklin, IN 46131-2316 | 2015-03-05 |
| 1588911895 | United Rx, LLC | Pharmacy | 2325 Pointe Pkwy, Carmel, IN 46032-3294 | 2012-08-07 |
| 1265674097 | Pauls Pharmacy Inc | Pharmacy | 4111 N Saint Joseph Ave, Evansville, IN 47720-1206 | 2009-03-25 |
| 1952577173 | Grandview Healthcare, L.L.C. | Pharmacy | 3402 Congressional Pkwy Ste A, Fort Wayne, IN 46808-4440 | 2008-05-07 |
| 1427108356 | Doctors Park Pharmacy | Pharmacy | 2030 Doctors Park Dr, Columbus, IN 47203-2221 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
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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.