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PROCARE PHARMACY LLC NPI 1417216128


NPI Information

NPI: 1417216128
Provider Name: PROCARE PHARMACY, LLC

Doing Business As: ENCOMPASS RX 48637

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
2700 NORTHEAST EXPY NE
SUITE B-800
ATLANTA, GA
ZIP 30345
Phone: (404) 367-9111
Get Directions

PROCARE PHARMACY, LLC is a specialty pharmacy pharmacy in Atlanta, GA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. PROCARE PHARMACY, LLC NPI is 1417216128. The provider is registered as an organization entity type.
The provider Is Doing Business As Encompass Rx 48637.

The provider's business location address is:

2700 NORTHEAST EXPY NE
SUITE B-800
ATLANTA, GA
ZIP 30345
Phone: (404) 367-9111
Fax: (404) 367-9199

The provider's authorized official is Maria Markos .
The authorized official title is President and has the following contact phone number (401) 770-3303.

The enumeration date for this NPI number is 5/15/2012 and was last updated on 8/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHRE009830GEORGIANo
43336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003123975AMEDICAIDGEORGIA
27G9830MEDICAIDSOUTH CAROLINA
32135141OTHERPK
41417216128MEDICAIDVIRGINIA
5058513900MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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