PCA CORRECTIONS LLC


Address: 1740 Williamsburg Dr Ste A, Jeffersonville, IN 47130-8066
Phone: 5029645359

PCA CORRECTIONS LLC (NPI# 1962870295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962870295
Entity Type Organization
Organization Name PCA CORRECTIONS LLC
Other Organization Name PCA SOUTHERN INDIANA
Practice Address 1740 Williamsburg Dr Ste A
Jeffersonville
IN 47130-8066
Practice Telephone 5029645359
Mailing Telephone 5029645359
Enumeration Date 2015-09-03
Last Update Date 2015-09-17
Authorized Official Name MICHAEL BLACKETER (MANAGING PHARMACIST)
Authorized Official Telephone 5026089183
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
60006494A IN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2153835 01

Other Provider/Organization Names

Other Name Type Code
PCA Southern Indiana Doing Business As Name - Organization

Office Location

Street Address 1740 WILLIAMSBURG DR STE A
City JEFFERSONVILLE
State IN
Zip Code 47130-8066

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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

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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
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Competitor

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City JEFFERSONVILLE
Zip Code 47130

Improve Information

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Dataset Information

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.

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