Procare Pharmacy LLC
NPI 1205930104ActiveOrganization· Pharmacy· Aurora, CO
Pharmacy in Aurora, Colorado, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1205930104 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Dec 20, 2022 |
| Certified by provider | Dec 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PDO617 | CO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (CO); Part B Supplier - Mass Immunization (Roster Biller Only) (CO) |
|---|
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