PROCARE PHARMACY, L.L.C. (NPI# 1518039858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518039858 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02915 |
| Practice Address |
500 Ala Moana Blvd Bldg 1 Ste A Honolulu HI 96813-4920 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 8008961464 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | SUSAN F COLBERT (SENIOR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHY612 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1203417 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #02915 | 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 |
| 1508975079 | Procare Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 445 Castro St, San Francisco, CA 94114-2019 | 2006-08-29 |
| 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 |
| 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 |
500 ALA MOANA BLVD BLDG 1 STE A |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952366874 | Honolulu Surgery Center Lp | Clinic/Center | 500 Ala Moana Blvd, Tower 1 Suite 1b, Honolulu, HI 96813-4920 | 2006-04-20 |
| 1306444328 | Kayla Maher | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-10-12 |
| 1679197511 | Hannah Post | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-06-06 |
| 1225652142 | Gabrielle Del Rosario | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-06-05 |
| 1689224024 | Access To Care America | Clinic/Center | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-09-18 |
| 1689224644 | Christopher Matthew Knightsbridge | Counselor | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-09-12 |
| 1891342390 | Shannon Lundeen-kreuzer | Behavior Technician | 500 Ala Moana Blvd, Attn: Behavioral Health Works, Honolulu, HI 96813-4920 | 2019-08-20 |
| 1598311185 | William James Woodin | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-08-10 |
| 1588133383 | Yuna Chang | Nurse Practitioner | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2018-11-21 |
| 1821566860 | Charissa Taylor | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1548579725 | Mina Corporation | Pharmacy | 1401 S Beretania St Ste 110, Honolulu, HI 96814-1871 | 2010-10-05 |
| 1255658324 | Hawaii Irx, LLC | Pharmacy | 2875 B Koapaka Street, Honolulu, HI 96819 | 2010-04-28 |
| 1073972287 | Value Drug Ltd | Pharmacy | 3375 Koapaka St, Ste G320, Honolulu, HI 96819-1800 | 2016-02-16 |
| 1265418891 | Value Drug Ltd | Pharmacy | 3375 Koapaka St, Ste G320, Honolulu, HI 96819-1800 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467876482 | 5 Minute Pharmacy Specialty, LLC | Pharmacy | 94-216 Farrington Hwy, Suite #b1-102c, Waipahu, HI 96797-1922 | 2014-02-11 |
| 1780996579 | Rainbow Pharmacy, LLC | Pharmacy | 2349 S Kihei Rd, #4, Kihei, HI 96753-7202 | 2010-07-08 |
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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.