Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Procare Pharmacy, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1093824575

Procare Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1117 Walnut St
Philadelphia, PA 19107-4918
Phone: (866) 813-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PP410995L (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1093824575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director Payer Relations · (401) 765-1500
Other names Cvs Pharmacy # 02553; Cvs Pharmacy # 02553
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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