Purecare Pharmacy LLC
NPI 1902516297 · Community/Retail Pharmacy · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Purecare Pharmacy LLC is a Community/Retail Pharmacy organization in Brooklyn, NY (NPI 1902516297).
Provider details
- NPI number
- 1902516297
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Trevor Stark, Owner(718) 484-9803
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Purecare Pharmacy LLC's NPI number?
- Purecare Pharmacy LLC's National Provider Identifier (NPI) is 1902516297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Purecare Pharmacy LLC?
- Purecare Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Purecare Pharmacy LLC located?
- Purecare Pharmacy LLC's practice location on file with NPPES is 1380 Coney Island Ave, Brooklyn, NY 11230-4120.
- What is Purecare Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Purecare Pharmacy LLC is (718) 484-9803.
- Does Purecare Pharmacy LLC accept Medicare?
- Purecare Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Purecare Pharmacy LLC?
- The authorized official listed on Purecare Pharmacy LLC's NPPES record is Trevor Stark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Purecare Pharmacy LLC's NPI active?
- Yes — Purecare Pharmacy LLC's NPI (1902516297) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.