| Name: | Pharmacy Corporation of America |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Aug 1994 (31 years ago) |
| Identification Number: | 000080872 |
| Place of Formation: | CALIFORNIA |
| Principal Address: | 805 N WHITTINGTON PKWY, LOUISVILLE, KY, 40222-5186, USA |
| Purpose: | INSTITUTIONAL PHARMACY |
| Fictitious names: |
PMSI (trading name, 1996-01-02 - 2004-01-29) |
NAICS
446110 Pharmacies and Drug StoresThis industry comprises establishments known as pharmacies and drug stores engaged in retailing prescription or nonprescription drugs and medicines. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265465843 | 2006-07-08 | 2024-02-13 | 3802 CORPOREX PARK DR STE 150, TAMPA, FL, 336191135, US | 83 VERMONT AVE, UNIT 2, WARWICK, RI, 028883047, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 813-318-6039 |
| Phone | +1 401-737-4165 |
| Fax | 4017399770 |
Authorized person
| Name | ALLISON L. BROWN |
| Role | SECRETARY |
| Phone | 5026307429 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PHA00264 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PHA00446 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 4105311 |
| Issuer | MEDICAID |
| Number | DR00319 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| JENNIFER M. YOWLER | PRESIDENT | 805 N WHITTINGTON PKWY LOUISVILLE, KY 40222-5186 USA |
| Name | Role | Address |
|---|---|---|
| JENNIFER M YOWLER | TREASURER | 805 N WHITTINGTON PKWY STE 400 LOUISVILLE, KY 40222 USA |
| Name | Role | Address |
|---|---|---|
| ALLISON L. BROWN | DIRECTOR,SECRETARY | 805 N WHITTINGTON PKW LOUISVILLE, KY 40222-5186 USA |
| Name | Role | Address |
|---|---|---|
| T. J. GRIFFIN | DIRECTOR,VICE PRESIDENT | 805 N WHITTINGTON PKWY LOUISVILLE, KY 40222-5186 USA |
| Name | Role | Address |
|---|---|---|
| JENNIFER M YOWLER | DIRECTOR | 805 N WHITTINGTON PKWY STE 400 LOUISVILLE, KY 40222 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Merged | 2008-06-28 | Dunnington | Pharmacy Corporation of America |
| Number | Name | File Date |
|---|---|---|
| 202452847440 | Annual Report | 2024-04-27 |
| 202334130790 | Annual Report | 2023-04-26 |
| 202217861760 | Annual Report | 2022-05-26 |
| 202190525080 | Annual Report | 2021-02-09 |
| 202034074790 | Annual Report | 2020-02-10 |
| 201985582310 | Annual Report | 2019-01-30 |
| 201857795970 | Annual Report | 2018-02-07 |
| 201734481800 | Annual Report | 2017-02-22 |
| 201692604970 | Annual Report | 2016-02-18 |
| 201555396460 | Annual Report | 2015-02-20 |
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
