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CCN AMERICA LP NPI 1114004082


NPI Information

NPI: 1114004082
Provider Name: CCN AMERICA LP

Doing Business As: COORDINATED CARE NETWORK PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
300 PENN CENTER BLVD
STE 405
PITTSBURGH, PA
ZIP 15235
Phone: (412) 349-6337
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CCN AMERICA LP is a community/retail pharmacy pharmacy in Pittsburgh, PA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CCN AMERICA LP NPI is 1114004082. The provider is registered as an organization entity type.
The provider Is Doing Business As Coordinated Care Network Pharmacy.

The provider's business location address is:

300 PENN CENTER BLVD
STE 405
PITTSBURGH, PA
ZIP 15235-511
Phone: (412) 349-6337
Fax: (412) 349-6311

The provider's authorized official is Thomas Pollack .
The authorized official title is President And Cfo and has the following contact phone number (412) 349-6300.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyA9-0001443DELAWARENo
23336C0003XPharmacyCommunity/Retail Pharmacy64001140AINDIANANo
33336C0003XPharmacyCommunity/Retail Pharmacy2013028515MISSOURINo
43336C0003XPharmacyCommunity/Retail Pharmacy22-13060KANSASNo
53336C0003XPharmacyCommunity/Retail Pharmacy92900FLORIDANo
63336C0003XPharmacyCommunity/Retail Pharmacy5301010585MICHIGANNo
73336C0003XPharmacyCommunity/Retail PharmacyP07388MARYLANDNo
83336C0003XPharmacyCommunity/Retail PharmacyMO40001734MAINENo
93336C0003XPharmacyCommunity/Retail PharmacyPHNR000903GEORGIANo
103336C0003XPharmacyCommunity/Retail Pharmacy054.018830ILLINOISNo
113336C0003XPharmacyCommunity/Retail PharmacyPA1463KENTUCKYNo
123336C0003XPharmacyCommunity/Retail Pharmacy4388IOWANo
133336C0003XPharmacyCommunity/Retail Pharmacy13674MISSISSIPPINo
143336C0003XPharmacyCommunity/Retail Pharmacy264536MINNESOTANo
153336C0003XPharmacyCommunity/Retail Pharmacy114317ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114004082MEDICAIDMINNESOTA
21114004082MEDICAIDILLINOIS
30235504MEDICAIDNEW JERSEY
42016006960MEDICAIDVIRGINIA
53810008615MEDICAIDWEST VIRGINIA
62721540MEDICAIDOHIO
7300012108MEDICAIDINDIANA
81018103020001MEDICAIDPENNSYLVANIA
97100147740MEDICAIDKENTUCKY
102085919OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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