Procare Specialty Pharmacy, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PROCARE SPECIALTY PHARMACY, LLC

Practice address

2220 Forest Ave
Staten Island, NY 10303-1752

Phone

(718) 973-9722

NPI assigned

Nov 27, 2025

Organization subpart

No

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

Authorized official

Name

Peter M

Title

Pharmacist

Phone

(718) 973-9722

Specialties & licenses 2

Addresses

Tax ID family

Procare Specialty Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Procare Specialty Pharmacy, LLC

  • Community/Retail Pharmacy
  • Staten Island, NY
  • NPI 1528920519
  NPD tax ID

Locations

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

{
    "created_epoch": "1764201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764201600000",
    "number": "1467314468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031752",
            "telephone_number": "718-973-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-27",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A",
        "authorized_official_last_name": "M",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-973-9722"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raisa Priyeva, FNP
• PRN Care Solutions, Inc.
• Pro Peace NP in Psychiatry PLLC
• Problems to Solve LCSW
• Matthew James Procaccini, PA
• Procare Specialty Pharmacy, LLC
• Procare Wellness Center LLC
• Farah Proce, MOT, OTR/L
• Procedure Endoscopy Services PLLC
• Nicholas Profaizer, DO

• Compounding Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Compounding Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; 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.