PROCARE LTC OF SYRACUSE, LLC


Address: 621 E Brighton Ave, Syracuse, NY 13210-4254
Phone: 3158006400

PROCARE LTC OF SYRACUSE, LLC (NPI# 1326684069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326684069
Entity Type Organization
Organization Name PROCARE LTC OF SYRACUSE, LLC
Practice Address 621 E Brighton Ave
Syracuse
NY 13210-4254
Mailing Address 110 Bi County Blvd Ste 121
Farmingdale
NY 11735-3923
Practice Telephone 3158006400
Enumeration Date 2019-11-18
Last Update Date 2019-11-18
Authorized Official Name RAJIV DHADWAL (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 6318155821
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Office Location

Street Address 621 E BRIGHTON AVE
City SYRACUSE
State NY
Zip Code 13210-4254

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568095115 Syracuse Town & Country Pharmacy, Inc Pharmacy 1710 Poplar, Syracuse, NE 68446-6844 2020-02-21
1730109646 Buffalo Pharmacies, Inc. Pharmacy 813 Fay Rd Ste P1, Syracuse, NY 13219-3009 2006-07-21
1093872210 Hutchings Psychiatric Center Pharmacy 620 Madison St, Syracuse, NY 13210-2319 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285268623 Rafieh Pharmacy Pharmacy 70 Lee Ave Store, Brooklyn, NY 11211 2020-02-25
1376108670 Bh Drug Corp Pharmacy 8780a Sutphin Blvd, Jamaica, NY 11435-3342 2019-05-02
1093273500 Pleasant Valley Chemists Inc Pharmacy 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 2019-03-05
1215406939 C L Cressler Inc Pharmacy 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 2018-11-26
1093298853 Kovi Inc. Pharmacy 2417 3rd Ave Ste 802, Bronx, NY 10451-6342 2018-09-07
1033698840 Rx City Pharmacy, Inc Pharmacy 161 Genesee St Ste 105, Auburn, NY 13021-3390 2018-08-13
1811409451 Monsey Family Drugstore LLC Pharmacy 108 B Route 59, Monsey, NY 10952 2017-11-03
1215448857 Crestwood Health Inc Pharmacy 26 Picotte Dr, Albany, NY 12208-1710 2017-10-23
1205353315 Carepax LLC Pharmacy 382 Route 59 Ste 276, Airmont, NY 10952-3422 2017-08-29
1407395270 Pharmacy Corporation of America Pharmacy 45 Becker Road, Suite D, West Henrietta, NY 14586-9205 2017-02-14
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Competitor

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City SYRACUSE
Zip Code 13210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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