PROCARE PHARMACY LLC (NPI# 1881703353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881703353 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #03129 |
| Practice Address |
1002 E Mcdowell Rd Phoenix AZ 85006-2625 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6022587051 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | SUSAN F 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 | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Y03365 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0325957 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03129 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669549580 | Procare Pharmacy LLC | Clinical Medical Laboratory | 6 Pinetree Dr, Ste 290 Northpark Center, Arden Hills, MN 55112 | 2006-11-29 |
| 1013089382 | Procare Pharmacy LLC | Pharmacy | 1001 Madison St, Seattle, WA 98104-1263 | 2006-11-14 |
| 1205930104 | Procare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2101 N Ursula St Unit 35, Aurora, CO 80045-7426 | 2006-09-12 |
| 1003925587 | Procare Pharmacy LLC | Pharmacy | 126 8th Ave, New York, NY 10011-5108 | 2006-08-29 |
| 1760591234 | Procare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 35 Kneeland St, Boston, MA 02111-1523 | 2006-08-29 |
| 1962511436 | Procare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1010 University Ave, San Diego, CA 92103-3398 | 2006-08-29 |
| 1720197205 | Procare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2 Dudley St Ste 170, Providence, RI 02905-3246 | 2006-08-29 |
| 1407965973 | Procare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2006-08-29 |
| 1215046784 | Procare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 560 Amsterdam Ave Ste E, Atlanta, GA 30306-3479 | 2006-08-29 |
| 1396785861 | Procare Pharmacy LLC | Pharmacy | 11 S Eutaw St, Baltimore, MD 21201 | 2006-06-06 |
| Street Address |
1002 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496323 | Brandon J Kim | Podiatrist | 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006-2625 | 2005-08-31 |
| 1932255791 | Copper State Orthopedics, Ltd | Orthopaedic Surgery | 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006-2625 | 2007-01-26 |
| 1578507901 | Susan Kimberly Martin | Registered Nurse | 1002 E Mcdowell Rd, Suite 120, Phoenix, AZ 85006-2625 | 2006-06-15 |
| 1023086113 | Elite Foot and Ankle Surgical Specialists | Podiatrist | 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006-2625 | 2006-03-14 |
| 1659349918 | Urgent Care Plus L.L.C. | Clinic/Center | 1002 E Mcdowell Rd, Suite # 120, Phoenix, AZ 85006-2625 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1366041501 | White Nile | Pharmacy | 4338 W Thomas Rd Unit E5, Phoenix, AZ 85031-3878 | 2020-10-20 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
| 1245884014 | Rebecca Dodge | Pharmacy | 4611 E Shea Blvd Ste 180, Phoenix, AZ 85028-4258 | 2019-07-30 |
| 1437702156 | Roman Health Pharmacy, LLC | Pharmacy | 2331 W Royal Palm Rd Ste A, Phoenix, AZ 85021-4940 | 2019-07-22 |
| 1487115812 | Ascriberx America, LLC | Pharmacy | 8826 N 23rd Ave Ste C-5, Phoenix, AZ 85021-4154 | 2019-03-28 |
| 1346720349 | Medavail Pharmacy Inc. | Pharmacy | 2196 E Camelback Rd Ste 200, Phoenix, AZ 85016-4751 | 2018-08-19 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1619478047 | Coram Alternate Site Services, Inc. | Pharmacy | 4601 E Hilton Ave Ste 105, Phoenix, AZ 85034-6406 | 2018-02-21 |
| 1740796093 | Azbdbr, LLC | Pharmacy | 816 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-12-22 |
| Find all providers in PHOENIX | ||||
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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.