CCN AMERICA LP (NPI# 1164844098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164844098 |
| Entity Type | Organization |
| Organization Name | CCN AMERICA LP |
| Other Organization Name | COORDINATED CARE NETWORK PHARMACY |
| Practice Address |
268 Dr Martin Luther King Jr Blvd Newark NJ 07102-2011 |
| Mailing Address |
300 Penn Center Blvd Ste 505 Pittsburgh PA 15235-5505 |
| Practice Telephone | 8622377298 |
| Mailing Telephone | 4123496300 |
| Mailing Fax Number | 4123496724 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | THOMAS POLLACK (VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 4123496300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 28RS00730700 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143763 | 01 |
| Other Name | Type Code |
|---|---|
| Coordinated Care Network Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058042 | Ccn America Lp | Pharmacy | 110 E 13th Ave Ste A, Cordele, GA 31015-4245 | 2019-05-14 |
| 1013470889 | Ccn America Lp | Pharmacy | 100 N Cameron St Ste 201, Harrisburg, PA 17101-2424 | 2019-04-09 |
| 1003214214 | Ccn America Lp | Pharmacy | 340 N 12th St, Philadelphia, PA 19107-1102 | 2014-12-22 |
| 1154783561 | Ccn America Lp | Pharmacy | 1500 W Cypress Creek Rd, Suite 203, Fort Lauderdale, FL 33309-1833 | 2016-03-24 |
| 1114004082 | Ccn America Lp | Pharmacy | 300 Penn Center Blvd, Ste 405, Pittsburgh, PA 15235-5511 | 2006-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CCN AMERICA LP | 300 Penn Center Blvd Ste 505, Pittsburgh, PA 15235 |
| Virginia Business Entities | CCN America LP | 300 Penn Center Blvd Ste 505, Pittsburgh, Pennsylvania 15235 |
| Street Address |
268 DR MARTIN LUTHER KING JR BLVD |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615090 | Essex Emergency Associates, P.a. | Emergency Medicine | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2005-08-02 |
| 1720613342 | Ambika S Ramlogan | Pharmacist | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2020-03-04 |
| 1912556085 | Omar M Mian | Pharmacist | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2019-09-10 |
| 1215425020 | Adeen Shakil Khokhar | Student in an Organized Health Care Education/Training Program | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2018-04-26 |
| 1912437997 | Ogori N Kalu Md | Surgery | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2017-06-13 |
| 1033495015 | Allen Judah Srulowitz | Emergency Medicine | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2011-10-22 |
| 1992942676 | Ogori N Kalu | Surgery | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2009-01-16 |
| 1467485623 | Comprehensive Cardiovascular Consultants PC | Internal Medicine | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102 | 2006-07-09 |
| 1891731766 | Stephen J Manocchio | Specialist | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-06-21 |
| 1477598928 | Nancy Scangarello | Registered Nurse | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1518438506 | Delaware Apothecary | Pharmacy | 1215 Churchmans Rd, Newark, DE 19713-2149 | 2018-12-17 |
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1770011371 | Apollo Pharmacy Inc | Pharmacy | 130 Summer Ave, Newark, NJ 07104-1903 | 2017-05-25 |
| 1235681032 | Jcpr Corp | Pharmacy | 2600 Glasgow Ave Ste 108, Newark, DE 19702-5703 | 2016-10-27 |
| 1750835104 | Trinity Global Pharmacy LLC. | Pharmacy | 287 S Orange Ave, Newark, NJ 07103-2438 | 2016-08-14 |
| 1184000622 | Metro Pharmacy Inc | Pharmacy | 620 Stanton Christiana Rd Ste 102, Newark, DE 19713-2134 | 2015-08-06 |
| 1538557178 | Obeng Pharmacy LLC | Pharmacy | 671 Martin Luther King Jr Blvd, Newark, NJ 07102-1186 | 2015-01-06 |
| 1790917037 | Trimax Medical Services Inc | Pharmacy | 1299 Mccarter Hwy, Newark, NJ 07104-3757 | 2009-08-20 |
| 1720241649 | Option Care Enterprises Inc | Pharmacy | 604 White Clay Center Dr, Newark, DE 19711 | 2008-07-10 |
| Find all providers in NEWARK | ||||
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| 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.