OrganizationActiveAccepts Medicare
Procare Pharmacy, L.L.C.
NPI 1093824575 · Pharmacy · Philadelphia, PA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1093824575
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Colbert, Sr. Director Payer Relations(401) 765-1500
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1117 Walnut St
Philadelphia, PA 19107-4918
Phone: (866) 813-3899
Street-level locationGet directions
Mailing address
1 Cvs Dr
Woonsocket, RI 02895-6146
Other names (DBA / former)
- Doing business as
- Cvs Pharmacy # 02553
- Doing business as
- Cvs Pharmacy # 02553
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2021-09-01
- Certified
- 2021-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.