Organization Active NPI

Procare LTC Ohio, LLC

  • Long Term Care Pharmacy
  • Worthington, OH
National Provider Identifier
1225504186
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PROCARE LTC OHIO, LLC
Practice address
402 E Wilson Bridge Rd
Suite B
Worthington, OH 43085
Phone
(614) 964-4610
NPI assigned
Oct 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

402 E Wilson Bridge Rd
Suite B
Worthington, OH 43085

Mailing address

1 Olympic PL Ste 600
Towson, MD 21204-4110
Phone (888) 741-0367

National Provider Directory

National Provider Directory

Locations

111 Executive Blvd
Farmingdale, NY 11735
Phone (631) 815-5821

402 E Wilson Bridge Rd
Ste B
Worthington, OH 43085
Phone (614) 400-8678

402 E Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 964-4610

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1225504186",
    "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": "888-741-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E WILSON BRIDGE RD",
            "address_2": "SUITE B",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "43085",
            "telephone_number": "614-964-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE LTC OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.