PROCARE PHARMACY DIRECT, LLC. (NPI# 1043382302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043382302 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY DIRECT, LLC. |
| Other Organization Name | CVS SPECIALTY |
| Practice Address |
105 Mall Blvd Monroeville PA 15146-2230 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 8002387828 |
| Mailing Telephone | 4017707240 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | SUE COLBERT (DIRECTOR PHARMACY SERVICES) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PP414230L | PA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PP-414230-L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007692930010 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Specialty | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PROCARE PHARMACY DIRECT, LLC | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
105 MALL BLVD |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205809498 | Brian Rauber | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2006-02-09 |
| 1730795360 | Jeanine E Dull | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-09-18 |
| 1982210886 | Rachel Kaitlyn Gribbin | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-09-17 |
| 1790391696 | Caitlyn Ann Hoover | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-09-17 |
| 1609482504 | Karley Fazzone | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-09-17 |
| 1699380949 | Chad Gessler | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-09-14 |
| 1609499920 | Julian Elliott Hunt | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-05-20 |
| 1780212332 | Mark Weifenbaugh | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-03-30 |
| 1427686070 | Lauren Defelice | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-03-30 |
| 1245868892 | Jeffrey Ward | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2213 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| 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] |
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| 1194213652 | Ccn America, Lp | Pharmacy | 300 Penn Center Blvd Ste 405, Pittsburgh, PA 15235-5511 | 2018-04-30 |
| 1306362710 | St Lukes Homestar Services LLC | Pharmacy | 77 S Commerce Way Ste 200, Bethlehem, PA 18017-8891 | 2017-08-17 |
| 1992158208 | Ghanshyam Healthcare Inc | Pharmacy | 460 W Lehigh Ave, Philadelphia, PA 19133-3135 | 2016-07-21 |
| 1477904449 | Sunray Drugs Specialty | Pharmacy | 142 S 52nd St, Suite 201, Philadelphia, PA 19139-3409 | 2016-06-30 |
| 1891187290 | Neff Drugs 31 LLC | Pharmacy | 825 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2015-02-23 |
| 1164779617 | Madame Rx, LLC | Pharmacy | 950 Henderson Blvd, Folcroft, PA 19032-1805 | 2012-08-14 |
| 1760770382 | Kim Pharmaceuticals LLC | Pharmacy | 109 W Chelten Ave, Philadelphia, PA 19144-3301 | 2011-07-17 |
| 1275856148 | Rezk Pharmacy LLC | Pharmacy | 204 South Main St, Suite 100, Carrolltown, PA 15722 | 2010-03-08 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 15146 |
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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.