Organization
CCN AMERICA LP
Active
Other names
Coordinated Care Network Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS POLLACK (PRESIDENT AND CFO)
(412) 349-6300
Entity
Organization
Contact information
Practice address
300 PENN CENTER BLVD, STE 405, PITTSBURGH, PA 15235-5511
(412) 349-6337
(412) 349-6311
Mailing address
PO BOX 5000, GREENSBURG, PA 15601-2117
(412) 349-6300
(412) 349-6311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
054.018830
IL
3336C0003X
Community/Retail Pharmacy
Primary
114317
AL
3336C0003X
Community/Retail Pharmacy
13674
MS
3336C0003X
Community/Retail Pharmacy
2013028515
MO
3336C0003X
Community/Retail Pharmacy
22-13060
KS
3336C0003X
Community/Retail Pharmacy
264536
MN
3336C0003X
Community/Retail Pharmacy
4388
IA
3336C0003X
Community/Retail Pharmacy
5301010585
MI
3336C0003X
Community/Retail Pharmacy
64001140A
IN
3336C0003X
Community/Retail Pharmacy
92900
FL
3336C0003X
Community/Retail Pharmacy
A9-0001443
DE
3336C0003X
Community/Retail Pharmacy
MO40001734
ME
3336C0003X
Community/Retail Pharmacy
P07388
MD
3336C0003X
Community/Retail Pharmacy
PA1463
KY
3336C0003X
Community/Retail Pharmacy
PHNR000903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235504
—
NJ
05
—
1018103020001
—
PA
05
—
1114004082
—
IL
05
—
1114004082
—
MN
05
—
2016006960
—
VA
01
—
2085919
PK
—
05
—
2721540
—
OH
05
—
300012108
—
IN
05
—
3810008615
—
WV
05
—
7100147740
—
KY
Enumeration date
10/31/2006
Last updated
09/19/2025
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