PROCARE LTC OHIO, LLC (NPI# 1225504186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225504186 |
| Entity Type | Organization |
| Organization Name | PROCARE LTC OHIO, LLC |
| Practice Address |
402 E Wilson Bridge Rd Suite B Worthington OH 43085 |
| Mailing Address |
111 Executive Blvd Farmingdale NY 11735 |
| Practice Telephone | 6149644610 |
| Mailing Telephone | 6318155821 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | MR. RAJIV DHADWAL (CHIEF COMPLIANCE OFFICER/AUTHORIZED) |
| Authorized Official Telephone | 6318155821 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Street Address |
402 E WILSON BRIDGE RD SUITE B |
| City | WORTHINGTON |
| State | OH |
| Zip Code | 43085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427292754 | Rms Spectrum Services Inc | Day Training, Developmentally Disabled Services | 402 E Wilson Bridge Rd, Suite A, Worthington, OH 43085-2366 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901468 | Natalia Tehan | Technician | 6417 Linworth Rd, Worthington, OH 43085 | 2020-04-22 |
| 1114546033 | Shelby Kaye Breneman | Case Manager/Care Coordinator | 445 E. Dublin Gradville Rd., Worthington, OH 43085 | 2020-04-10 |
| 1366919144 | Halle Kleiber | Behavior Technician | 455 E Dublin Granville Road, Worthington, OH 43085 | 2018-10-30 |
| 1184119943 | Debbie Elizabeth Costello | Foster Care Agency | 5655 North High St., Columbus, OH 43085 | 2018-06-25 |
| 1700389186 | Audrey Kathryn Eichenlaub | Dentist | 6641 N High St Ste 101, Worthington, OH 43085 | 2018-03-13 |
| 1568971828 | Sharon Cooley-burdine | Registered Nurse | 495 Englander Court, Worthington, OH 43085 | 2017-09-29 |
| 1487183885 | Kathleen Marie Hussein | Social Worker | 445 East Dublin-granville Road, Columbus, OH 43085 | 2017-06-08 |
| 1760910459 | Eileen Marie Butler | Physical Therapist | 200 East Wilson Bridge, Worthington, OH 43085 | 2017-05-25 |
| 1346692431 | Julie H. Richards | Counselor | 870 High Street, Suite 203, Worthington, OH 43085 | 2016-07-12 |
| 1922452796 | Penny Anne Coons | Pharmacist | 866 Loch Lomond Lane, Worthington, OH 43085 | 2016-04-19 |
| Find all providers in zip 43085 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1053967364 | Ksar LLC | Pharmacy | 2245 W Dublin Granville Rd Ste 103, Worthington, OH 43085-3336 | 2019-08-13 |
| 1518123918 | Cpp Medication Management LLC | Pharmacy | 1020 High St Ste B, Worthington, OH 43085-4014 | 2008-08-05 |
| 1013028042 | Pharmerica East LLC | Pharmacy | 720 Lakeview Plaza Blvd, Suite H, Worthington, OH 43085 | 2006-08-31 |
| 1457968760 | Astrup Drug Inc | Pharmacy | 511 10th St, Worthington, MN 56187-2342 | 2020-09-30 |
| 1710055959 | County Lineprofessional Pharmacy LLC | Pharmacy | 1020 High St, Worthington, OH 43085-4014 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323162 | East Ohio Regional Hospital | Pharmacy | 90 N 4th Street, Martins Ferry, OH 43935 | 2020-10-13 |
| 1083228852 | Harvest Grove Ltc LLC | Pharmacy | 10335 S Medallion Dr, Cincinnati, OH 45241-4825 | 2020-08-31 |
| 1801416789 | Pill Box Inc | Pharmacy | 1400 Sr 125, Amelia, OH 45102-2650 | 2020-04-21 |
| 1386271591 | Easterday Pharmacy LLC | Pharmacy | 1696 S. Arch Ave, Alliance, OH 44601 | 2020-03-26 |
| 1659911105 | Pillbox Pharmacy, LLC | Pharmacy | 324 Main St Ste B, Toledo, OH 43605-2038 | 2020-01-13 |
| 1629639281 | Hhc Enterprises Inc | Pharmacy | 1451 Yauger Rd Ste 1h, Mount Vernon, OH 43050-7902 | 2019-06-25 |
| 1639730369 | Pharm Investco LLC | Pharmacy | 434 Alexandersville Rd, Miamisburg, OH 45342-3658 | 2019-06-24 |
| 1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
| 1760963326 | Fitzgerald Seaman Pharmacy | Pharmacy | 17860 St Rt 247, Seaman, OH 45679 | 2018-08-22 |
| 1841797073 | Pharmacy Specialty Group, LLC | Pharmacy | 6910 Treeline Dr Ste F, Brecksville, OH 44141-3366 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
| City | WORTHINGTON |
| Zip Code | 43085 |
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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.