PROCARE PHARMACY, L.L.C. (NPI# 1508975079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508975079 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02708 |
| Practice Address |
445 Castro St San Francisco CA 94114-2019 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4158647030 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHY49051 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0519655 | 01 | |
| CA | 1508975079 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #02708 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174921209 | Procare Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 10160 International Blvd, Westchester, OH 45246-4846 | 2014-12-05 |
| 1417100447 | Procare Pharmacy, L.L.C. | Pharmacy | 141 Preble St, Portland, ME 04101-2440 | 2008-11-04 |
| 1225147796 | Procare Pharmacy, L.L.C. | Pharmacy | 1601 17th St Nw, Washington, DC 20009-2403 | 2006-08-29 |
| 1558470039 | Procare Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1309 Nw 23rd Ave, Portland, OR 97210-2601 | 2006-08-29 |
| 1942319413 | Procare Pharmacy, L.L.C. | Pharmacy | 4014 State Line Rd, Kansas City, KS 66103-3328 | 2006-08-29 |
| 1518039858 | Procare Pharmacy, L.L.C. | Pharmacy | 500 Ala Moana Blvd, Bldg 1 Ste A, Honolulu, HI 96813-4920 | 2006-11-14 |
| 1093824575 | Procare Pharmacy, L.L.C. | Pharmacy | 1117 Walnut St, Philadelphia, PA 19107-4918 | 2006-08-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PROCARE PHARMACY, L.L.C. | 1 Cvs Drive, Legal Dept, Woonsocket, RI 02895 |
| Washington State Corporations | PROCARE PHARMACY, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Connecticut Business Registrations | PROCARE PHARMACY, L.L.C. | One Cvs Dr, Woonsocket, RI 02895 |
| Iowa Business Entities | PROCARE PHARMACY, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Colorado Business Entities | ProCare Pharmacy, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| New York State Corporations | PROCARE PHARMACY, L.L.C. | 1 Cvs Drive, Woonsocket, Ri 02895 |
| Vermont Business Registrations | PROCARE PHARMACY, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Massachusetts Corporations | PROCARE PHARMACY, LLC | One Cvs Drive, C/o Cvs Pharmacy, Inc., Woonsocket, RI 02895 |
| Street Address |
445 CASTRO ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94114-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176182 | Steven Wang | Pharmacist | 445 Castro St, San Francisco, CA 94114-2019 | 2019-10-23 |
| 1285277350 | Jimmy Du | Pharmacist | 445 Castro St, San Francisco, CA 94114-2019 | 2019-10-22 |
| 1578926127 | Rhiann Desrosiers | Pharmacist | 445 Castro St, San Francisco, CA 94114-2019 | 2016-03-31 |
| 1609297472 | Alan P Chan | Pharmacist | 445 Castro St, San Francisco, CA 94114-2019 | 2013-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016883 | Eric Robert Holmgren | Radiologic Technologist | 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 | 2020-06-05 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1467005710 | Tin Rx Castro San Francisco | Pharmacy | 2175 Market St., Unit 122, San Francisco, CA 94114 | 2019-07-16 |
| 1396239075 | Larry Do Nguyen | Physical Therapist | Castro and Duboce St, San Francisco, CA 94114 | 2018-06-18 |
| 1407385875 | Christine Kaede Fischer | Chiropractor | 1326 Church Street, San Francisco, CA 94114 | 2017-06-08 |
| 1437521168 | Caleb Zeringue | Registered Nurse | 840 Castro St, San Francisco, CA 94114 | 2015-10-21 |
| 1811310188 | Jennifer Lynn Sharpe | Counselor | 126 Church St., San Francisco, CA 94114 | 2014-01-22 |
| 1457787657 | Robin Rachel Rome | Art Therapist | 76a Pond Street, San Francisco, CA 94114 | 2013-09-19 |
| 1487990396 | Gregg S Aspacher | Pharmacist | 2262 Market Street, San Francisco, CA 94114 | 2012-12-20 |
| 1699025338 | Jinous Amjadi | Pharmacist | 2020 Market Street, San Francisco, CA 94114 | 2012-09-10 |
| Find all providers in zip 94114 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013361096 | Carezone Foundation | Pharmacy | 3175 17th St, San Francisco, CA 94110-1332 | 2016-04-16 |
| 1982064549 | North East Medical Services | Pharmacy | 1019 Clement St, San Francisco, CA 94118-2112 | 2016-02-25 |
| 1942630793 | Aids Healthcare Foundation | Pharmacy | 100 N. Church St., San Francisco, CA 94114-1111 | 2013-11-14 |
| 1992982540 | Clement Pharmacy | Pharmacy | 1922 Clement St, San Francisco, CA 94121-2217 | 2008-01-25 |
| 1730231895 | Tony G Bastian Pharmacy Inc. | Pharmacy | 5199 Geary Blvd, San Francisco, CA 94118-2815 | 2007-01-17 |
| 1225187693 | Lc Mission LLC | Pharmacy | 2462 Mission St, San Francisco, CA 94110-2415 | 2007-01-08 |
| 1023174398 | Franklin Pharmacy Prof Corp | Pharmacy | 1508 Franklin St, San Francisco, CA 94109-4523 | 2006-12-29 |
| 1194885418 | Daniels Pharmacy | Pharmacy | 943 Geneva Ave, San Francisco, CA 94112-3402 | 2006-12-08 |
| 1588743611 | Reliable Rexall Sunset Pharmacy Inc | Pharmacy | 801 Irving St, San Francisco, CA 94122-2310 | 2006-11-02 |
| 1568547859 | Fishbeyn Holdings Inc | Pharmacy | 2299 Post St Ste 109, Suite 109, San Francisco, CA 94115-3443 | 2006-10-26 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94114 |
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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.