Procare Pharmacy, LLC
NPI 1417216128ActiveOrganization· Pharmacy, Specialty Pharmacy· Atlanta, GA
Pharmacy, Specialty Pharmacy in Atlanta, Georgia, registered in NPPES in May 2012. The authorized official on file is Brandon Aycock, President. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1417216128 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2012 |
| Last updated in NPPES | Dec 10, 2025 |
| Certified by provider | Dec 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHRE009830 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (GA) |
|---|
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