| CCW_PHARM_ID |
CCW-assigned Pharmacy Identifier |
| NCPDP_ID |
NCPDP Pharmacy Identifier (Pharmacy Characteristics) |
| PREV_CCW_PHARM_ID |
Previous Owner CCW Pharmacy Identifier |
| PHYSICAL_LOCATION_CLOSE_DATE |
Physical Location of Pharmacy Closure Date |
| PHYSICAL_LOCATION_OPEN_DATE |
Physical Location of Pharmacy Open Date |
| PHYSICAL_LOCATION_STATE_CODE |
Physical Location of Pharmacy State Code |
| DISPENSER_CLASS |
Part D Dispenser Class Code |
| PRIMARY_DISPENSER_TYPE |
Pharmacy Primary Dispenser Type Code |
| PRIMARY_TAXONOMY_CD |
Pharmacy Primary Taxonomy Code |
| SECONDARY_DISPENSER_TYPE |
Pharmacy Secondary Dispenser Type Code |
| SECONDARY_TAXONOMY_CODE |
Pharmacy Secondary Taxonomy Code |
| TERTIARY_DISPENSER_TYPE |
Pharmacy Tertiary Dispenser Type Code |
| TERTIARY_TAXONOMY_CODE |
Pharmacy Tertiary Taxonomy Code |
| RELATIONSHIP_ID |
Pharmacy Relationship Identifier (encrypted) |
| RELATIONSHIP_FROM_DT |
Pharmacy Relationship From Date |
| RELATIONSHIP_THRU_DT |
Pharmacy Relationship Through Date |
| RELATIONSHIP_TYPE |
Pharmacy Relationship Type |
| PRNT_ORG_ID |
Pharmacy Parent Organization Identifier (encrypted) |
| EPRSCRB_SRVC_IND |
E-Prescribing Services Indicator |
| EPRSCRB_SRVC_CD |
Code Indicating the E-Prescribing Services Offered |
| DME_SRVC_IND |
DME Services Indicator |
| DME_SRVC_CD |
Code Indicating the DME Services Offered |
| WALKIN_CLINIC_IND |
Walk-in Clinic Services Indicator |
| WALKIN_CLINIC_CD |
Code Indicating the Level of Walk-in Clinic Services Offered |
| IMMUNIZATIONS_IND |
Immunization Services Indicator |
| IMMUNIZATIONS_CD |
Code Indicating the Level of Immunization Services Offered |
| STATUS_340B_IND |
340B Status Indicator |
| STATUS_340B_CD |
Code Indicating the Level of 340B Services Offered |