Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1114004082
Ccn America Lp
Organization Subpart: NO
Active
NPI Number1114004082
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1114004082
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-10-31
Last Updated2025-09-19
Authorized OfficialThomas Pollack
President and CFO
Phone: 4123496300
Mailing AddressPo Box 5000
Greensburg, PA 15601-2117
United States
Phone: (412) 349-6300 | Fax: (412) 349-6311
📍 View Map
Primary Practice Address300 Penn Center Blvd, Ste 405
Pittsburgh, PA 15235-5511
United States
Phone: (412) 349-6337 | Fax: (412) 349-6311
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDIN300012108
MEDICAIDNJ0235504
MEDICAIDVA2016006960
Other (non-Medicare)2085919PK
MEDICAIDOH2721540
MEDICAIDPA1018103020001
MEDICAIDIL1114004082
MEDICAIDMN1114004082
MEDICAIDWV3810008615
MEDICAIDKY7100147740
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336C0003X – Pharmacy, Community/Retail PharmacyMDP07388
No3336C0003X – Pharmacy, Community/Retail PharmacyGAPHNR000903
No3336C0003X – Pharmacy, Community/Retail PharmacyIL054.018830
No3336C0003X – Pharmacy, Community/Retail PharmacyMEMO40001734
No3336C0003X – Pharmacy, Community/Retail PharmacyKYPA1463
No3336C0003X – Pharmacy, Community/Retail PharmacyIA4388
No3336C0003X – Pharmacy, Community/Retail PharmacyMS13674
No3336C0003X – Pharmacy, Community/Retail PharmacyMN264536
Yes3336C0003X – Pharmacy, Community/Retail PharmacyAL114317
No3336C0003X – Pharmacy, Community/Retail PharmacyDEA9-0001443
No3336C0003X – Pharmacy, Community/Retail PharmacyIN64001140A
No3336C0003X – Pharmacy, Community/Retail PharmacyMO2013028515
No3336C0003X – Pharmacy, Community/Retail PharmacyKS22-13060
No3336C0003X – Pharmacy, Community/Retail PharmacyFL92900
No3336C0003X – Pharmacy, Community/Retail PharmacyMI5301010585
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About NPI 1114004082

Ccn America Lp is an organization registered in the CMS NPPES NPI Registry with NPI number 1114004082. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Pittsburgh, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114004082?

NPI 1114004082 belongs to Ccn America Lp, a Pharmacy, Community/Retail Pharmacy in Pittsburgh, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114004082 active?

The current status of NPI 1114004082 in the NPPES registry is Active. The record was last updated on 2025-09-19.

What specialty is NPI 1114004082?

NPI 1114004082 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114004082?

You can verify NPI 1114004082 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114004082?

The primary practice address on file for NPI 1114004082 is 300 Penn Center Blvd, Pittsburgh, PA 15235-5511. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114004082 issued?

NPI 1114004082 was first issued (enumerated) on 2006-10-31. The NPPES record was last updated on 2025-09-19.

Practice Location Map

Ccn America Lp is located at 300 Penn Center Blvd, Pittsburgh, PA. Use the map below to find directions or verify the practice location.

📍 300 Penn Center Blvd, Pittsburgh, PA 15235-5511  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ccn America Lp. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114004082. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyP07388MD
Pharmacy, Community/Retail PharmacyPHNR000903GA
Pharmacy, Community/Retail Pharmacy054.018830IL
Pharmacy, Community/Retail PharmacyMO40001734ME
Pharmacy, Community/Retail PharmacyPA1463KY
Pharmacy, Community/Retail Pharmacy4388IA
Pharmacy, Community/Retail Pharmacy13674MS
Pharmacy, Community/Retail Pharmacy264536MN
Pharmacy, Community/Retail Pharmacy114317AL
Pharmacy, Community/Retail PharmacyA9-0001443DE
Pharmacy, Community/Retail Pharmacy64001140AIN
Pharmacy, Community/Retail Pharmacy2013028515MO
Pharmacy, Community/Retail Pharmacy22-13060KS
Pharmacy, Community/Retail Pharmacy92900FL
Pharmacy, Community/Retail Pharmacy5301010585MI
Data Verified from CMS NPPES Last synced: 2026-06-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162