Procare Specialty Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

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

Last updated

Nov 27, 2025By 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

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

  • Compounding Pharmacy
  • Staten Island, NY
  • NPI 1467314468
  NPD tax ID

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": "1528920519",
    "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": "2025-11-26",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Digital Fusion LLC
• 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
• Professional Care Physical Therapy PC

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail 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.