PROCARE PHARMACY, LLC (NPI# 1730298217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730298217 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY #02980 |
| Practice Address |
601 S Kings Dr Charlotte NC 28204-2932 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7043337435 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-04-21 |
| 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 | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 7759 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3438682 | 01 | |
| NC | 0602293 -RX | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02980 | 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 |
| 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 |
| 1588773055 | Procare Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 350 Longwood Ave, Ste B, Boston, MA 02115-5726 | 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 |
601 S KINGS DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427424365 | Joseph Delsanto | Hearing Instrument Specialist | 601 S Kings Dr, Charlotte, NC 28204-2932 | 2015-08-14 |
| 1396157574 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 601 S Kings Dr, Suite Gg, Charlotte, NC 28204-2932 | 2014-05-22 |
| 1700125432 | Wesley Senour Pope | Chiropractor | 601 S Kings Dr, Suite F, Charlotte, NC 28204-2932 | 2013-01-31 |
| 1821342346 | Performance Rehab Associates, P.C. | Physical Therapist | 601 S Kings Dr, Suite F, Charlotte, NC 28204-3089 | 2012-11-06 |
| 1841504289 | Shipman-charlotte | Home Health | 601 S Kings Dr, Ste Ee, Charlotte, NC 28204-2932 | 2010-07-27 |
| 1124345319 | Crossing Paths, LLC | Hearing Aid Equipment | 601 S Kings Dr, Suite G, Charlotte, NC 28204-2932 | 2010-04-27 |
| 1497947410 | Liberty Healthcare Group, LLC | Home Health | 601 S Kings Dr, Suite Jj, Charlotte, NC 28204-2932 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| 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 |
|---|---|---|---|---|
| 1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
| 1245841279 | Novant Health Pharmacy Services, LLC | Pharmacy | 125 Queens Rd Ste 180, Charlotte, NC 28204-3215 | 2020-08-13 |
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1942863832 | Ndvs Drugs, Inc. | Pharmacy | 5820 E W T Harris Blvd Ste E2, Charlotte, NC 28215-4559 | 2019-04-17 |
| 1053856419 | Central Pharmacy - Charlotte LLC | Pharmacy | 354 S Cochran Ave Ste 3, Charlotte, MI 48813-1569 | 2016-12-21 |
| 1639559966 | Star Bright Pharmacy Inc. | Pharmacy | 231 Mt Holly Huntersville Rd, Ste 160, Charlotte, NC 28214-9357 | 2015-06-02 |
| 1487047874 | Lax Group LLC | Pharmacy | 8035 Providence Rd Ste 100, Charlotte, NC 28277-9716 | 2015-03-10 |
| 1851718571 | Friendly Family Pharmacy, LLC Dba Friendly Family Pharmacy Paw Creek | Pharmacy | 517 Little Rock Rd, Charlotte, NC 28214-1915 | 2014-03-19 |
| 1932521416 | Charlotte-mecklenburg Hospital Authority | Pharmacy | 4400 Golf Acres Dr Ste F, Charlotte, NC 28208-5990 | 2014-01-17 |
| 1740613140 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Rd Ste H, Charlotte, NC 28210-7429 | 2013-08-21 |
| Find all providers in CHARLOTTE | ||||
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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.