Organization
PROCARE PHARMACY LLC
Active
Other names
CVS Pharmacy # 02919
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
126 8TH AVE, NEW YORK, NY 10011-5108
(800) 362-7828
(212) 645-1429
Mailing address
1 CVS DR, PO BOX 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
024813
NY
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02118298
—
NY
01
—
3353757
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/29/2006
Last updated
01/31/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us