OrganizationActive
Pharmacy Corporation of America
NPI 1093799843 · Long Term Care Pharmacy · Everett, WA
Provider details
- NPI number
- 1093799843
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Pharmerica Holdings, Inc.
- Organization subpart
- Yes
- Authorized official
- Stephen Lariviere, Chief Compliance Officer(502) 627-7404
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Se Everett Mall Way
Ste A100
Everett, WA 98208-3208
Phone: (503) 626-9436
Fax: (800) 982-2730
Street-level locationGet directions
Mailing address
Po Box 409244
Atlanta, GA 30384-9244
Other names (DBA / former)
- Doing business as
- Propac Payless Pharmacy
- Doing business as
- Propac Payless Pharmacy
- Doing business as
- Propacpayless Pharmacy
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2019-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.