PROCARE PHARMACY LLC (NPI# 1760591234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760591234 |
| Entity Type | Organization |
| Organization Name | PROCARE PHARMACY LLC |
| Other Organization Name | CVS/PHARMACY #02516 |
| Practice Address |
35 Kneeland St Boston MA 02111-1523 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6175421885 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-03-24 |
| Authorized Official Name | SUSAN F. 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 | 2870 | MA | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
2870 | MA | Suppliers |
| Y | 333600000X | Pharmacy | 2870 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0447536 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2237611 | 01 | |
| CT | 008017016 | 05 | |
| CT | CT DME | 008017022 | 01 |
| Other Name | Type Code |
|---|---|
| CVS/PHARMACY #02516 | 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 |
| 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 |
| 1407965973 | Procare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 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 |
35 KNEELAND ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516162 | Alyson Carey | Physician Assistant | 35 Kneeland St, Boston, MA 02111-1523 | 2019-06-06 |
| 1376742361 | Navdeep Tangri | Internal Medicine | 35 Kneeland St, 6th Floor, Boston, MA 02111-1523 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| 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.