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Procare Pharmacy Health Center

NPI 1962873695ActiveOrganization· Pharmacy· Annandale, VA

Pharmacy in Annandale, Virginia, registered in NPPES in October 2015. The authorized official on file is Robyn Doan, Manager. Medicare paid $12,053 for services to 55 patients in 2024.

Overview

NPI1962873695
StatusActive
Entity typeOrganization
NPI issuedOct 7, 2015
Last updated in NPPESJan 18, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X0201004684VA
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (DC); Part B Supplier - Pharmacy (DC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients55
Services billed144 across 7 procedure codes
Paid by Medicare$12,053

Medicare sources and data years

Other Pharmacy providers in Annandale

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