Procare Pharmacy, L.L.C.
NPI 1881703353ActiveOrganization· Pharmacy· Phoenix, AZ
Pharmacy in Phoenix, Arizona, registered in NPPES in August 2006. The authorized official on file is Susan F. Colbert, Sr. Director, Payer Relations. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1881703353 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2006 |
| Last updated in NPPES | Jun 26, 2024 |
| Certified by provider | Jun 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | Y03365 | AZ |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (AZ); Part B Supplier - Mass Immunization (Roster Biller Only) (AZ) |
|---|
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