PCA-CORRECTIONS LLC NPI 1750392312

NPI Information

  • NPI: 1750392312
  • Provider Name: PCA-CORRECTIONS LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 36D2184166
  • Address: 4014 VENTURE CT
    COLUMBUS, OH
    ZIP 43228
  • Phone: (614) 297-8244

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NPI Details

PCA-CORRECTIONS LLC is a long term care pharmacy pharmacy in Columbus, OH. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PCA-CORRECTIONS LLC NPI is 1750392312. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4014 VENTURE CT
COLUMBUS, OH
ZIP 43228-600
Phone: (614) 297-8244
Fax: (877) 883-5975

The provider's authorized official is David Davis .
The authorized official title is President and has the following contact phone number (502) 412-5847.

The CLIA number assigned to this NPI record is 36D2184166 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose (HCPCS:0001A)

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/4/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy021949900OHIONo
23336L0003XPharmacyLong Term Care Pharmacy5301009951MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11682476MEDICAIDMICHIGAN
2201269540AMEDICAIDINDIANA
32077428OTHERPK
42973484MEDICAIDOHIO

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: 3/30/2025

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