PROCARE PHARMACY, LLC (NPI# 1588773055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588773055 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY, LLC |
| Other Organization Name | CVS/PHARMACY # 02971 |
| Practice Address |
350 Longwood Ave Ste B Boston MA 02115-5726 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6177318665 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-03-24 |
| 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 | 3027 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2238497 | 01 | |
| MA | 0416100 | 05 |
| Other Name | Type Code |
|---|---|
| CVS/pharmacy # 02971 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1730298217 | Procare Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 601 S Kings Dr, Charlotte, NC 28204-2932 | 2006-08-29 |
| 1497864961 | Procare Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 2600 N Orange Ave, Orlando, FL 32804-4622 | 2006-08-29 |
| 1366551848 | Procare Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 426 S Henderson St, Fort Worth, TX 76104-1017 | 2006-08-29 |
| 1184733669 | Procare Pharmacy, LLC | Pharmacy | 7950 Floyd Curl Dr 106 Tower 1, San Antonio, TX 78229 | 2006-08-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PROCARE PHARMACY, LLC | One Cvs Drive, C/o Cvs Pharmacy, Inc., Woonsocket, RI 02895 |
| Street Address |
350 LONGWOOD AVE STE B |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124053277 | Charles M Gibson | Internal Medicine | 350 Longwood Ave, 1st Floor, Boston, MA 02115-5726 | 2006-07-11 |
| 1396001152 | Justin C Voog | Student in an Organized Health Care Education/Training Program | 350 Longwood Ave, Suite 205, Boston, MA 02115-5726 | 2012-04-05 |
| 1124339817 | John F. Cyr | Physician Assistant | 350 Longwood Ave, First Office Floor, Boston, MA 02115-5726 | 2010-06-28 |
| 1578893384 | Annmarie C. Wilson | Nurse Practitioner | 350 Longwood Ave, Boston, MA 02115-5726 | 2009-12-30 |
| 1316046618 | Cvs Pharmacy Inc | Pharmacy | 350 Longwood Ave, Boston, MA 02115-5726 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| 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 |
|---|---|---|---|---|
| 1619982253 | Tai Tung Pharmacy Inc | Pharmacy | 256 Harrison Ave, Boston, MA 02111-1835 | 2006-07-30 |
| 1902841430 | Greenfield Enterprises Inc | Pharmacy | 59 Charles St, Boston, MA 02114-4605 | 2006-06-18 |
| 1326088006 | Tufts Medical Center Inc. | Pharmacy | Revenue and Cash Control, 750 Washington Street, Box 1005, Boston, MA 02111-1526 | 2006-06-08 |
| 1851942858 | Kristine Zhang | Pharmacy | 150 S Huntington Ave, Boston, MA 02130-4817 | 2019-09-23 |
| 1508305103 | North End Community Health Committee Inc | Pharmacy | 332 Hanover St, Boston, MA 02113-1901 | 2017-02-15 |
| 1932650827 | Tai Tung Pharmacy Inc | Pharmacy | 256 Harrison Ave, Boston, MA 02111-1835 | 2016-10-17 |
| 1043684582 | Atlas Pharmahealth, Inc. | Pharmacy | 534 Dorchester Ave Unit C-1, Boston, MA 02127 | 2015-11-20 |
| 1679811731 | Advanced Medical Group, LLC | Pharmacy | 118 N Main St, Boston, GA 31626-2257 | 2013-01-24 |
| 1699954842 | Dana Farber Cancer Institute | Pharmacy | 450 Brookline Ave, Yc-537 (pharmacy), Boston, MA 02115-5450 | 2007-10-24 |
| 1407981434 | Rj Griffis Enterptises LLC | Pharmacy | 118 N Main St, Boston, GA 31626-2257 | 2007-02-22 |
| Find all providers in BOSTON | ||||
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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.