MEDCO AT HOME LLC


Address: 14811 N Kierland Blvd, Ste 100 Rm 109, Scottsdale, AZ 85254-2729
Phone: 4803685005

MEDCO AT HOME LLC (NPI# 1225201932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225201932
Entity Type Organization
Organization Name MEDCO AT HOME LLC
Other Organization Name MEDCO HEALTH SOLUTIONS OF SCOTTSDALE
Practice Address 14811 N Kierland Blvd
Ste 100 Rm 109
Scottsdale
AZ 85254-2729
Practice Telephone 4803685005
Practice Fax Number 4803685040
Mailing Telephone 4803685005
Mailing Fax Number 4803685040
Enumeration Date 2008-04-03
Last Update Date 2013-01-28
Authorized Official Name LISA CANNONE (SENIORDIRECTOR, LICENSING)
Authorized Official Telephone 3146845075
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 3336M0002X Pharmacy
Specialization: Mail Order Pharmacy
Y004924 AZ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 0355304 01

Other Provider/Organization Names

Other Name Type Code
MEDCO HEALTH SOLUTIONS OF SCOTTSDALE Doing Business As Name - Organization

Office Location

Street Address 14811 N KIERLAND BLVD
STE 100 RM 109
City SCOTTSDALE
State AZ
Zip Code 85254-2729

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Taxonomy Information

Taxonomy Code 3336M0002X
Grouping Suppliers
Classification Pharmacy
Specialization Mail Order Pharmacy

Taxonomy Definition

A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
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: new]

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NPI Name Taxonomy Address Enumeration
1205035011 Rxc Acquisition Company Pharmacy 5601 N. Pima Road, Scottsdale, AZ 85250 2007-07-12
1881952851 Caremarkpcs Health, L.L.C. Pharmacy 9501 E Shea Blvd, Mc108, Scottsdale, AZ 85260-6719 2012-04-27

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1730261199 Esi Mail Pharmacy Service Inc Pharmacy 3001 S Priest Drive, Tempe, AZ 85282 2006-10-19
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Competitor

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City SCOTTSDALE
Zip Code 85254

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Dataset Information

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.

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