PROCARE LTC OF MA LLC (NPI# 1932556438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932556438 |
| Entity Type | Organization |
| Organization Name | PROCARE LTC OF MA LLC |
| Other Organization Name | PROCARE LTC OF MA, LLC |
| Practice Address |
155 Northboro Rd Ste 4 Southborough MA 01772-1033 |
| Mailing Address |
110 Bi County Blvd Ste 121 Ste. 121 Farmingdale NY 11735-3923 |
| Practice Telephone | 5084815800 |
| Practice Fax Number | 5084815801 |
| Mailing Telephone | 6318155821 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | RAJIV DHADWAL (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6318155821 |
| Authorized Official Credential | PHARM. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
DS90042 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160164 | 01 | |
| MA | 110115534A | 05 |
| Other Name | Type Code |
|---|---|
| PROCARE LTC OF MA, LLC | Doing Business As Name - Organization |
| Street Address |
155 NORTHBORO RD STE 4 |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590357 | Leanne Languirand | Pharmacist | 155 Northboro Rd Ste 4, Southborough, MA 01772-1033 | 2019-10-23 |
| 1447892492 | Melissa Ostrander | Pharmacist | 155 Northboro Rd Ste 4, Southborough, MA 01772-1033 | 2019-10-11 |
| 1053879601 | Minhchau Tran | Pharmacist | 155 Northboro Rd Ste 4, Southborough, MA 01772-1033 | 2019-03-03 |
| 1831601582 | George Peter Roy | Pharmacist | 155 Northboro Rd Ste 4, Southborough, MA 01772-1033 | 2017-11-02 |
| 1851836142 | Timothy Wai Hung Lam | Pharmacist | 155 Northboro Rd Ste 4, Southborough, MA 01772-1033 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
| 1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
| 1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
| 1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
| 1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
| 1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
| 1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
| 1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
| Find all providers in zip 01772 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1487293569 | Cure-aid Pharmacy Inc | Pharmacy | Cure-aid Pharmacy, 203 Essex Street, Lawrence, MA 01840 | 2020-01-06 |
| 1194366955 | Remedium Pharmacy, LLC | Pharmacy | 2 Vinal Sq, North Chelmsford, MA 01863-1312 | 2019-10-03 |
| 1184194276 | Pharma Service LLC | Pharmacy | 1183 Acushnet Ave, New Bedford, MA 02746-1905 | 2018-11-30 |
| 1023562006 | Prescott Pharmacy Ltc Inc | Pharmacy | 100 Grove St Ste B12, Worcester, MA 01605-2627 | 2016-08-08 |
| 1508249137 | Mbs Pharma Care, Inc. | Pharmacy | 1035b Providence Rd, Whitinsville, MA 01588-2121 | 2015-07-01 |
| 1568896785 | Shreeji Enterprises LLC | Pharmacy | 1275 Pawtucket Blvd Ste 3, Lowell, MA 01854-1070 | 2013-08-23 |
| 1477784304 | Mhhp Acquisition Company, LLC | Pharmacy | 574 Hartford Turnpike, Shrewsbury, MA 01545 | 2009-07-27 |
| 1376785196 | Family Pharmacy Ltc Inc | Pharmacy | 63a Main Street, Ashburnham, MA 01430 | 2009-03-25 |
| 1952566309 | Daw LLC | Pharmacy | 427 Turnpike St, Canton, MA 02021 | 2008-07-25 |
| 1598828980 | Medicine Store Inc. | Pharmacy | 409 Lowell St, Wakefield, MA 01880-1962 | 2006-12-18 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
Please comment or provide details below to improve the information on PROCARE LTC OF MA LLC.
| 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.