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CCN AMERICA LP NPI 1164844098


NPI Information

NPI: 1164844098
Provider Name: CCN AMERICA LP

Doing Business As: COORDINATED CARE NETWORK PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
268 DR MARTIN LUTHER KING JR BLVD
NEWARK, NJ
ZIP 07102
Phone: (862) 237-7298
Get Directions

CCN AMERICA LP is a pharmacy in Newark, NJ. The provider is 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. CCN AMERICA LP NPI is 1164844098. 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:

268 DR MARTIN LUTHER KING JR BLVD
NEWARK, NJ
ZIP 07102-011
Phone: (862) 237-7298

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

The enumeration date for this NPI number is 1/13/2014 and was last updated on 7/15/2016.


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 PharmacyNo
2333600000XPharmacy28RS00730700NEW JERSEYYes

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
12143763OTHERPK

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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