PROCARE PHARMACY, L.L.C. (NPI# 1225147796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225147796 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02733 |
| Practice Address |
1601 17th St Nw Washington DC 20009-2403 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2025880186 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-08-02 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | RX-00-00294 | DC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MD MED DME # | 1225147796 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0903814 | 01 | |
| DC | 027104400 | 05 | |
| MD | 1225147796 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02733 | 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 |
| 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 |
| Massachusetts Corporations | PROCARE PHARMACY, LLC | One Cvs Drive, C/o Cvs Pharmacy, Inc., Woonsocket, RI 02895 |
| Street Address |
1601 17TH ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20009-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724515 | Ana Serra | Social Worker | Mary's Center, 2333 Ontario Rd Nw, Washington, DC 20009 | 2020-06-10 |
| 1124596317 | Javan Anti Aging and Wellness Institute | Clinic/Center | 1626 U St Nw, Washington, DC 20009 | 2018-11-06 |
| 1477052272 | Shaw Family Dentistry Pllc | Dentist | 1515 U Street Nw, Suite A1 C1, Washington Dc, DC 20009 | 2018-02-07 |
| 1942728597 | Emily Schwaber | Speech-Language Pathologist | 5185 Macarthur Boulevard Suite 101, Washington, DC 20009 | 2017-09-05 |
| 1649792581 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009 | 2017-07-12 |
| 1700313707 | Salome Fomukong | Home Health Aide | 1752 Columbia Rd #2, Tierno Care Home Health Agency, Washington, DC 20009 | 2017-05-22 |
| 1912432436 | Mcclain Eyewear | Eyewear Supplier (Equipment, not the service) | 1514 U Street Nw, Washington, DC 20009 | 2017-04-21 |
| 1487195624 | Jasmine Thomas | Home Health Aide | 1440 W St Nw #b1, Washington, DC 20009 | 2017-03-20 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1134672520 | Margaret Ache Tata Tanwani | Home Health Aide | 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 | 2016-08-02 |
| Find all providers in zip 20009 | ||||
| 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 |
|---|---|---|---|---|
| 1518507755 | Genoa Healthcare, LLC | Pharmacy | 2007 State St Ste 110, Washington, IN 47501-8505 | 2020-01-15 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1407353816 | Ramdass Pharmaceuticals Inc | Pharmacy | 475 Ingraham St Ne, Washington, DC 20011-2602 | 2018-04-11 |
| 1043748569 | Shree Ohm Inc | Pharmacy | 64580 Van Dyke Rd Ste D, Washington, MI 48095 | 2017-05-28 |
| 1508309253 | Joedat International Inc | Pharmacy | 1516 N Capitol St Nw, Washington, DC 20002-3344 | 2016-11-29 |
| 1588015937 | Cary Rx Incorporated | Pharmacy | 1300 7th St Nw Ste 200, Washington, DC 20001-3504 | 2016-06-28 |
| 1518384940 | Alex Pharm LLC | Pharmacy | 5185 Macarthur Blvd Nw # 107, Washington, DC 20016-3341 | 2014-03-24 |
| 1932449923 | Triple Alliance Pharmacy, Inc | Pharmacy | 1219 Brentwood Rd Ne, Washington, DC 20018 | 2013-02-27 |
| 1477899375 | Genoa Healthcare, LLC | Pharmacy | 801 Pennsylvania Ave Se Ste 120, Washington, DC 20003-2167 | 2012-12-20 |
| 1508117664 | Central Pharmacy LLC | Pharmacy | 2202 Martin Luther King Jr Avenue Se, Washington, DC 20020 | 2012-09-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20009 |
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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.