PROCARE PHARMACY LLC (NPI# 1407965973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407965973 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #02801 |
| Practice Address |
8607 Santa Monica Blvd West Hollywood CA 90069-4109 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3106599810 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-04-18 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHY49047 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0558796 | 01 | |
| CA | 1407965973 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02801 | 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 |
| 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 |
| 1366436057 | Procare Pharmacy LLC | Pharmacy | 538 Sw 4th Ave, Portland, OR 97204-2102 | 2005-09-08 |
| Street Address |
8607 SANTA MONICA BLVD |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90069-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196436 | Thithi Trinh | Pharmacist | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2019-07-18 |
| 1144873217 | Ellen Jacobowitz | Pharmacist | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2019-07-18 |
| 1275185795 | Derek Brown | Pharmacist | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2019-07-15 |
| 1679125199 | Temur Nasser | Pharmacist | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2019-07-15 |
| 1679125108 | Timothy Lee | Pharmacist | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2019-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620188 | Schewitz Psychological Services Inc | Counselor | 722 North Orlando Avenue, #109, West Hollywood, CA 90069 | 2020-02-05 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1922527894 | Hansol | Acupuncturist | 9210 Sunset Blvd #212, Los Angeles, CA 90069 | 2017-09-12 |
| 1982121026 | Karen A Robinson | Dental Hygienist | 1264 N. Kings Rd, #14, West Hollywood, CA 90069 | 2017-08-29 |
| 1851844237 | Anna Mcmaster | Physical Therapist | 1201 Larrabee St Apt 205, West Hollywood, CA 90069 | 2016-08-02 |
| 1730565136 | Brittany Giraud | Nurse Practitioner | 8570 W. Sunset Blvd Suite 1.5, West Hollywood, CA 90069 | 2015-08-07 |
| 1124454962 | Twin Town Corporation | Clinic/Center | 8739 Santa Monica Blvd., West Hollywood, CA 90069 | 2013-09-25 |
| 1609201417 | Jaclyn Jean Tolentino | Family Medicine | 8550 Santa Monica Blvd, 2nd Floor, West Hollywood, CA 90069 | 2013-09-11 |
| 1992144489 | Virginia Denise Hall | Nurse Practitioner | 8570 W Sunset Blvd Ste 1.5, West Hollywood, CA 90069 | 2013-06-18 |
| 1518305473 | Amedco California Inc. | Optometrist | 8624 Sunset Blvd., The Eye Gallery - La, West Hollywood, CA 90069 | 2013-06-12 |
| Find all providers in zip 90069 | ||||
| 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 |
|---|---|---|---|---|
| 1316123334 | Clinical Compounding Pharmacy | Pharmacy | 8941 Santa Monica Blvd, West Hollywood, CA 90069-4912 | 2008-01-22 |
| 1932302627 | National Pharmacy Inc | Pharmacy | 7420 Santa Monica Blvd, West Hollywood, CA 90046-5605 | 2007-06-08 |
| 1902827975 | West Knoll Pharmacy Inc | Pharmacy | 8547 Santa Monica Blvd, West Hollywood, CA 90069-4120 | 2006-07-22 |
| 1528055407 | Eddies Pharmacy Inc | Pharmacy | 8500 Melrose Ave, #109, West Hollywood, CA 90069-5145 | 2005-10-05 |
| 1962403568 | Spaulding Pharmacy Inc | Pharmacy | 7722 Santa Monica Blvd, West Hollywood, CA 90046-6220 | 2005-08-03 |
| 1801226642 | Aids Healthcare Foundation | Pharmacy | 8212 Santa Monica Blvd, West Hollywood, CA 90046-5913 | 2013-11-14 |
| 1174871214 | Cedars-sinai Medical Center Pharmacy | Pharmacy | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90069 |
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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.