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CVS PHARMACY # 02553
NPI 1093824575
Pharmacy in Philadelphia, PA

Active since August 29, 2006
1117 WALNUT ST, PHILADELPHIA, PA 19107(866) 813-3899 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2021, Jun 28, 2016 (2 updates tracked since 2016).

About Cvs Pharmacy # 02553 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY # 02553 (NPI 1093824575) is a healthcare organization registered as a pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Susan Colbert, Sr. Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1093824575
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePROCARE PHARMACY, L.L.C.
Location Address1117 WALNUT STPhiladelphia, PA 19107-4918
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(866) 813-3899
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director Payer Relations · (401) 765-1500
Enumeration DateAugust 29, 2006
Last NPPES UpdateSeptember 1, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1093824575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP410995L
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1117 WALNUT ST, Philadelphia, PA 19107
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Other Names 1

Doing Business AsCvs Pharmacy # 02553

Other Identifiers 1

Other3976656Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #02553 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #02553

DMEPOS supplier · Philadelphia, PAOperated by Procare Pharmacy, L.L.C.
✔

Accepts Medicare assignment

CVS Pharmacy #02553 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20345339
Medicare Participant SinceJanuary 1, 2023
Supplier Location1117 Walnut StPhiladelphia, PA 19107
Phone(215) 627-2143
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSA LEE PHARM.D.
Pharmacist
1117 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 627-2143
MARY EDELMAN PHARMD
Pharmacist
1117 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 627-2143
MRS. ANTONELLA SILVIA LAMORE PHARMD
Pharmacist
1117 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 627-2143
MICHAEL WYNNE
Pharmacist
1117 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 627-2143
STACY ANN MERENDA PHARMD
Pharmacist
1117 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (214) 627-2143
APRIL S KIM
Pharmacist
1117 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 627-2143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Procare Pharmacy, L.L.C.'s NPI number?

The NPI number for Procare Pharmacy, L.L.C. is 1093824575. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as CVS Pharmacy # 02553.

Where is Procare Pharmacy, L.L.C. located?

Procare Pharmacy, L.L.C. is located at 1117 Walnut St, Philadelphia, PA 19107. The listed phone number is (866) 813-3899.

What is Procare Pharmacy, L.L.C.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Procare Pharmacy, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #02553 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Procare Pharmacy, L.L.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 29 other insurers list Procare Pharmacy, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Procare Pharmacy, L.L.C. was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.