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CCN AMERICA LP NPI 1003214214


NPI Information

NPI: 1003214214
Provider Name: CCN AMERICA LP

Doing Business As: COORDINATED CARE NETWORK PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
249 S 13TH ST
PHILADELPHIA, PA
ZIP 19107
Phone: (844) 657-6786
Get Directions

CCN AMERICA LP is a community/retail pharmacy pharmacy in Philadelphia, 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 1003214214. 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:

249 S 13TH ST
PHILADELPHIA, PA
ZIP 19107-640
Phone: (844) 657-6786
Fax: (267) 324-3594

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 12/22/2014 and was last updated on 2/24/2022.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPP482532PENNSYLVANIAYes

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
11018103020002MEDICAIDPENNSYLVANIA
22149363OTHERPK

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: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.