| NPI | 1043382302 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-14 |
| Last Updated | 2025-12-10 |
| Authorized Official | Brandon Aycock President Phone: 4017651500 |
| Mailing Address | 1 Cvs Dr, Box 1075 - Pharmacy Enrollments Woonsocket, RI 02895-6146 United States Phone: (401) 770-7240 | Fax: (401) 770-7108 📍 View Map |
| Primary Practice Address | 105 Mall Blvd Monroeville, PA 15146-2230 United States Phone: (800) 238-7828 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1007692930010 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| No | 3336H0001X – Pharmacy, Home Infusion Therapy Pharmacy | PA | PP414230L |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336S0011X – Pharmacy, Specialty Pharmacy | PA | PP-414230-L |
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About NPI 1043382302
Procare Pharmacy Direct, Llc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1043382302. The primary specialty listed is Pharmacy, Specialty Pharmacy. The organization is located in Monroeville, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043382302?
NPI 1043382302 belongs to Procare Pharmacy Direct, Llc., a Pharmacy, Specialty Pharmacy in Monroeville, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043382302 active?
The current status of NPI 1043382302 in the NPPES registry is Active. The record was last updated on 2025-12-10.
What specialty is NPI 1043382302?
NPI 1043382302 is classified under the taxonomy Pharmacy, Specialty Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043382302?
You can verify NPI 1043382302 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043382302?
The primary practice address on file for NPI 1043382302 is 105 Mall Blvd, Monroeville, PA 15146-2230. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043382302 issued?
NPI 1043382302 was first issued (enumerated) on 2006-11-14. The NPPES record was last updated on 2025-12-10.
Practice Location Map
Procare Pharmacy Direct, Llc. is located at 105 Mall Blvd, Monroeville, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Procare Pharmacy Direct, Llc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043382302. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Home Infusion Therapy Pharmacy | PP414230L | PA |
| Pharmacy, Specialty Pharmacy | PP-414230-L | PA |