PROCARE PHARMACY (NPI# 1427160357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427160357 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY |
| Other Organization Name | PROCARE PHARMACY CARE |
| Practice Address |
2650 Sw 145th Ave Miramar FL 33027-6606 |
| Practice Telephone | 8006620586 |
| Practice Fax Number | 8006620590 |
| Mailing Telephone | 8006620586 |
| Mailing Fax Number | 8006620590 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | RAJESH THOMAS (PHARMACY GENERAL MANAGER) |
| Authorized Official Telephone | 8006620586 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
PH19085 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2015335 | 01 |
| Other Name | Type Code |
|---|---|
| PROCARE PHARMACY CARE | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PROCARE PHARMACY BENEFIT MANAGER, INC. | 2650 Sw 145th Avenue, Miramar, FL 33027 |
| Washington State Corporations | PROCARE PHARMACY BENEFIT MANAGER, INC. | 1267 Professional Pkwy, Gainesville, GA 30507 |
| Colorado Business Entities | ProCare Pharmacy Benefit Manager, Inc. | 2650 Sw 145th Ave, Miramar, FL 33027 |
| Vermont Business Registrations | PROCARE PHARMACY CARE, LLC | 3891 Commerce Parkway, Miramar, FL 33025 |
| Washington State Corporations | PROCARE PHARMACY CARE, LLC | 2650 Sw 145th Ave, Miramar, FL 33027-6606 |
| Massachusetts Corporations | PROCARE PHARMACY DIRECT, INC. | Legal Department, 1 Cvs Dr., Woonsocket, RI 02895 |
| Washington State Corporations | PROCARE PHARMACY DIRECT, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Vermont Business Registrations | PROCARE PHARMACY DIRECT, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Massachusetts Corporations | PROCARE PHARMACY DIRECT, LLC | One Cvs Drive, Woonsocket, RI 02895 |
| Virginia Business Entities | ProCare Pharmacy L.L.C. | One Cvs Drive, Mc 1160, Woonsocket, Rhode Island 02895 |
| Street Address |
2650 SW 145TH AVE |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-6606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558905661 | Promod Rx, LLC | Pharmacy | 2650 Sw 145th Ave, Miramar, FL 33027-6606 | 2019-10-31 |
| 1396394805 | Promod Rx, LLC | Pharmacy | 2650 Sw 145th Ave, Miramar, FL 33027-6606 | 2019-09-06 |
| 1023667987 | Procare Pharmacy Care, LLC | Pharmacy | 2650 Sw 145th Ave, Miramar, FL 33027-6606 | 2019-09-04 |
| 1164082335 | Procare Pharmacy Care LLC | Pharmacy | 2650 Sw 145th Ave, Miramar, FL 33027-6606 | 2019-06-19 |
| 1336696145 | Procare Pharmacy Care LLC | Pharmacy | 2650 Sw 145th Ave, Miramar, FL 33027-6606 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263871 | Dominique Nguyen | Pharmacy | 3820 Northdale Blvd Ste 311a, Tampa, FL 33624-1857 | 2020-04-06 |
| 1467964494 | Florida Health Care Plan, Inc | Pharmacy | 200 Southpark Blvd Ste 206, St Augustine, FL 32086-3129 | 2017-10-31 |
| 1669912184 | We Are One Medical Group Inc. | Pharmacy | 3169 Carthage Ct, Orlando, FL 32837-9032 | 2017-03-02 |
| 1568748010 | Advanced Rx Management | Pharmacy | 5315 Avion Park Dr Ste 120, Tampa, FL 33607-1461 | 2011-10-28 |
| 1457477689 | Leon Medical Centers LLC | Pharmacy | 8888 Coral Way, Miami, FL 33165-2008 | 2007-03-21 |
| 1336209568 | Davita Medical Florida, Inc. | Pharmacy | 1931 W Lumsden Rd, Brandon, FL 33511-8819 | 2006-12-11 |
| 1063572295 | Optumcare Florida, LLC | Pharmacy | 4757 Us Highway 19, New Port Richey, FL 34652-4945 | 2006-12-11 |
| 1316958952 | Exp Pharmacy Svc of Fl LLC | Pharmacy | 8275 Bryan Dairy Rd, Largo, FL 33777-1324 | 2006-08-10 |
| 1184040628 | Florida Health Care Plan Inc | Pharmacy | 707 Platinum Pt, Lake Mary, FL 32746-5702 | 2014-03-07 |
| 1598922049 | Consulting Results Inc. | Pharmacy | 10876 La Salinas Cir, Boca Raton, FL 33428-1235 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
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| 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.