{"npi":"1104842053","type":"NPI-2","status":"active","name":{"display":"Pharmacy Corporation Of America","other":[],"organization_name":"PHARMACY CORPORATION OF AMERICA","authorised_official":"Allison Brown"},"specialty":{"primary_taxonomy":"3336L0003X","primary_taxonomy_description":"Long Term Care Pharmacy","slug":"long-term-care-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":true,"state":"MD","license":"PW0334"}]},"addresses":[{"purpose":"LOCATION","street_1":"3 WASHINGTON ST","city":"CAMBRIDGE","state":"MD","postal_code":"216132801","country_code":"US","phone":"4102281012","fax":"4102281024"},{"purpose":"MAILING","street_1":"3 WASHINGTON ST","city":"CAMBRIDGE","state":"MD","postal_code":"216132801","country_code":"US","phone":"4102281012","fax":"4102281024"}],"license":{"state":"MD","number":"PW0334"},"identifiers":[{"type_code":"01","label":"Other","value":"499946","state":"MD","issuer":"CONTROLLED SUBSTANCE"},{"type_code":"01","label":"Other","value":"PW0526","state":"MD","issuer":"MD BOARD OF PHARMACY"},{"type_code":"05","label":"Medicaid","value":"961303000","state":"MD","issuer":null},{"type_code":"01","label":"Other","value":"2122808","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200328000009","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"MD","pac_id":"1850381807"},{"enrlmt_id":"O20210420001103","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"MD","pac_id":"1850381807"}]},"enumeration_date":"2006-07-14","last_updated":"2024-02-13","_meta":{"source":"NPPES","snapshot_date":"2024-02-13","doc_url":"https://findmynpi.com/api"}}