Procare Pharmacy LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROCARE PHARMACY LLC

Practice address

6 Pinetree Dr
Ste 290 Northpark Center
Arden Hills, MN 55112

Phone

(651) 481-1089

Fax

(412) 717-9352

NPI assigned

Nov 29, 2006

Organization subpart

Yes

Parent organization

PROCARE PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Jeffrey J Gallagher

Title

Director Government Billing and Rei

Phone

(412) 825-8862

Specialties & licenses 1

Addresses

Other names 1

• CarePlus CVS/pharmacy #2918 Doing business as

Part of

CVS Pharmacy 02708

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1669549580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PENN CENTER BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-825-8862",
            "fax_number": "412-717-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PINETREE DR",
            "address_2": "STE 290 NORTHPARK CENTER",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "651-481-1089",
            "fax_number": "412-717-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROCARE PHARMACY LLC",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR GOVERNMENT BILLING AND REI",
        "authorized_official_telephone_number": "412-825-8862"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePlus CVS/pharmacy #2918",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah C Prem, M.A., CCC SLP
• Presbyterian Homes of Arden Hills Inc
• Presbyterian Homes of Arden Hills Inc
• Anna Marie Preston, NP
• Noelle Christine Preston
• Nicholas Russell Quam, MD
• Jasmine Molika Quinlan
• Shreya Ramraj
• Ronderia J Randall
• Kristina Marie Richardson

• Clinical Medical Laboratory in Arden Hills, MN
• Providers in Arden Hills, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.