Procare LTC Pharmacy of Connecticut LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PCY0002214 Issued in CT

Legal business name

PROCARE LTC PHARMACY OF CONNECTICUT LLC

Doing business as

Procare LTC Pharmacy of Connecticut LLC

Practice address

1492 Highland Ave Ste 1C
Cheshire, CT 06410-1287

Phone

(203) 439-9099

Fax

(631) 963-3990

NPI assigned

Oct 11, 2011

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bincy Varghese, PHARM D

Title

Director of Compliance

Phone

(888) 741-0367

Specialties & licenses 3

Addresses

Other names 1

• Procare LTC Pharmacy of Connecticut LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tap RX LLC

  dba ProCare LTC

  • Long Term Care Pharmacy
  • Melville, NY
  • NPI 1710005822

  Member Of

  NPD member

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Anthony Hyde, R.PH

  • Pharmacist
  • Farmingdale, NY
  • NPI 1679799290
  NPD
• Paul Hwang, PHARMD

  • Pharmacist
  • New Haven, CT
  • NPI 1043606825
  NPD (past)
• Aarti Kotecha, PHARMD

  • Pharmacist
  • Cheshire, CT
  • NPI 1073954764
  NPD (past)
• Farai Mazhandu

  • Pharmacist
  • Cheshire, CT
  • NPI 1639572936
  NPD (past)
• Catherine McLean, BS PHARMACY

  • Pharmacist
  • Cheshire, CT
  • NPI 1639542053
  NPD (past)
• Morgan Ashleigh Schreiber, PHARM.D.

  • Geriatric Pharmacist
  • Cheshire, CT
  • NPI 1043809585
  NPD (past)
• Angela Sheldon, RPH

  • Pharmacist
  • Cheshire, CT
  • NPI 1700220498
  NPD (past)
• William Si, PHARMD

  • Pharmacist
  • Cheshire, CT
  • NPI 1285006452
  NPD (past)
• Thomas Richard Simenson, R.PH.

  • Pharmacist
  • Cheshire, CT
  • NPI 1922139948
  NPD (past)
• Anna M Wozniak, RPH

  • Pharmacist
  • Cheshire, CT
  • NPI 1962749929
  NPD (past)
• Celena Adjei, PHARM.D.

  • Pharmacist
  • Marlborough, MA
  • NPI 1750750774
  NPD (past)
• Rahath Chowdhury

  • Pharmacist
  • East Elmhurst, NY
  • NPI 1942708458
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1174807002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLYMPIC PL STE 600",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044110",
            "telephone_number": "877-741-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE STE 1C",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101287",
            "telephone_number": "203-439-9099",
            "fax_number": "631-963-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE LTC PHARMACY OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "BINCY",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "888-741-0367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031744",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CT",
            "license": "PCY0002214",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "RI",
            "license": "PHN11041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procare LTC Pharmacy of Connecticut LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Procare LTC Pharmacy of Connecticut LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Poutouves, DPT
• Chelsea Rose Powell, LCSW
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• Rebecca Pringle, MD, PH. D
• Joanne Priolo, APRN
• Francis Ralph Proto, DDS
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• PT and Pilates LLC
• Teresa Puckhaber, APRN
• Vesna Pulford, PHARMD

• Long Term Care Pharmacy in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Long Term Care Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.