| NPI | 1417100447 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-11-04 |
| Last Updated | 2025-12-10 |
| Authorized Official | Brandon Aycock President Phone: 4017651500 |
| Mailing Address | Po Box 99794 Chicago, IL 60696-7594 United States Phone: (401) 765-1500 | Fax: (401) 770-3094 📍 View Map |
| Primary Practice Address | 141 Preble St Portland, ME 04101-2440 United States Phone: (207) 899-0939 | Fax: (207) 899-0968 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | ME | 1248900057 | Medicare NSC |
| MEDICAID | ME | 1417100447 | - |
| Other (non-Medicare) | - | 2153870 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | ME | PH50001530 |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336S0011X – Pharmacy, Specialty Pharmacy | - | - |
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About NPI 1417100447
Procare Pharmacy, L.l.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1417100447. The primary specialty listed is Pharmacy, Specialty Pharmacy. The organization is located in Portland, ME. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-11-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417100447?
NPI 1417100447 belongs to Procare Pharmacy, L.l.c., a Pharmacy, Specialty Pharmacy in Portland, ME. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417100447 active?
The current status of NPI 1417100447 in the NPPES registry is Active. The record was last updated on 2025-12-10.
What specialty is NPI 1417100447?
NPI 1417100447 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 1417100447?
You can verify NPI 1417100447 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 1417100447?
The primary practice address on file for NPI 1417100447 is 141 Preble St, Portland, ME 04101-2440. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417100447 issued?
NPI 1417100447 was first issued (enumerated) on 2008-11-04. The NPPES record was last updated on 2025-12-10.
Practice Location Map
Procare Pharmacy, L.l.c. is located at 141 Preble St, Portland, ME. 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, L.l.c.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1417100447. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PH50001530 | ME |