PROCARE PHARMACY, L.L.C. (NPI# 1417100447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417100447 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY, L.L.C. |
| Other Organization Name | APOTHECARY BY DESIGN48611 |
| Practice Address |
141 Preble St Portland ME 04101-2440 |
| Mailing Address |
Po Box 99794 Chicago IL 60696-7594 |
| Practice Telephone | 2078990939 |
| Practice Fax Number | 2078990969 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017703094 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR. PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50001530 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MEDICARE NSC | 1248900057 | 01 |
| PK | 2153870 | 01 | |
| ME | 1417100447 | 05 |
| Other Name | Type Code |
|---|---|
| Apothecary by Design | Doing Business As Name - Organization |
| Apothecary by Design48611 | 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 |
| 1508975079 | Procare Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 445 Castro St, San Francisco, CA 94114-2019 | 2006-08-29 |
| 1225147796 | Procare Pharmacy, L.L.C. | Pharmacy | 1601 17th St Nw, Washington, DC 20009-2403 | 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 |
| Vermont Business Registrations | PROCARE PHARMACY, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Massachusetts Corporations | PROCARE PHARMACY, LLC | One Cvs Drive, C/o Cvs Pharmacy, Inc., Woonsocket, RI 02895 |
| Street Address |
141 PREBLE ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1235747775 | Cordant Pharmacy Oregon, LLC | Pharmacy | 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 | 2020-07-21 |
| 1578184909 | Capsule Portland LLC | Pharmacy | 416 Nw 12th Ave, Portland, OR 97209-2907 | 2020-04-27 |
| 1588291645 | Avita Drugs Oregon, LLC | Pharmacy | 2236 Se Belmont St Ste B, Portland, OR 97214-2817 | 2020-03-26 |
| 1649800186 | A & S Pharmacy LLC | Pharmacy | 1660 Wildcat Dr, Portland, TX 78374-2830 | 2020-01-23 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1538653654 | Division Pharmacy Inc. | Pharmacy | 10918 Se Division St, Portland, OR 97266-1259 | 2018-06-21 |
| 1659755593 | Portland Professional Pharmacy, LLC | Pharmacy | 11717 Ne Glisan St, Portland, OR 97220-2141 | 2015-07-09 |
| 1992194062 | Professionl Pharmacy | Pharmacy | 10000 Se Main St Ste 201, Portland, OR 97216-2448 | 2015-01-13 |
| 1932597978 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 | 2014-12-29 |
| Find all providers in PORTLAND | ||||
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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.