Organization
PROCARE PHARMACY LLC
Active
Other names
CVS Pharmacy #00102
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2101 N URSULA ST UNIT 35, AURORA, CO 80045-7426
(866) 813-4547
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PDO617
CO
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619479
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
09981756 (RX)
—
CO
05
—
10025711800
—
NE
01
—
1205930104
MT MEDICAID (RX)
MT
05
—
1205930104
—
UT
01
—
135307100
WY MEDICAID (RX)
WY
05
—
200125790B
—
OK
05
—
32920768 (DME)
—
CO
01
—
33383341
NM MEDICAID (RX)
NM
Enumeration date
09/12/2006
Last updated
12/20/2022
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