Procare LTC of Syracuse, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PROCARE LTC OF SYRACUSE, LLC

Practice address

105 Twin Oaks Dr
Syracuse, NY 13206-1205

Phone

(315) 800-6400

Fax

(315) 800-6401

NPI assigned

Nov 18, 2019

Last updated

Oct 17, 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

(631) 359-9711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 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

Locations

Practitioners 1

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.

• Kendra Lee Kimber

  • Pharmacist
  • Syracuse, NY
  • NPI 1639750565
  NPD

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1326684069",
    "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": "105 TWIN OAKS DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061205",
            "telephone_number": "315-800-6400",
            "fax_number": "315-800-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE LTC OF SYRACUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "BINCY",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "631-359-9711",
        "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": []
}

• James Peter Pritchard
• Joseph Pritchard, MSOT
• Kerry A. Pritchard, PMHNP
• Lesa M Probst, PHARM.D BS PHARM
• Luke Anthony Probst, PHARMD
• Emily McKay Procopio, FNP-C
• Rachel Proctor, RD
• Louis Profenno, M.D.
• Professional Practice Group, Dept. of Psych
• Profiles by Kristin LTD

• Long Term Care Pharmacy in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.