PROCARE PHARMACY, L.L.C.
NPI 1417100447
Pharmacy - Specialty Pharmacy in Portland, ME

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

The NPI number for Procare Pharmacy, L.L.C. is 1417100447. It was assigned to this organization in the NPPES registry on November 4, 2008. The provider is doing business as Cvs/Pharmacy #48611.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Active since November 04, 2008

141 PREBLE ST, PORTLAND, ME 04101(207) 899-0939(207) 899-0968 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2025, Dec 27, 2024, Aug 30, 2023 and 7 more (10 updates tracked since 2015).

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About Procare Pharmacy, L.l.c. NPPES

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

PROCARE PHARMACY, L.L.C. (NPI 1417100447), doing business as Cvs/pharmacy #48611, is a healthcare organization registered as a specialty pharmacy in Portland, Maine and active in the NPI registry since November 2008. The organization lists Brandon Aycock, President, as its authorized official.

NPPES Registry Identity

NPI1417100447

Entity TypeOrganization

Primary Taxonomy3336S0011X

Legal Business NamePROCARE PHARMACY, L.L.C.

Location Address141 PREBLE STPortland, ME 04101-2440

Mailing AddressPo Box 99794Chicago, IL 60696-7594 · (401) 765-1500 · Fax (401) 770-3094

Phone(207) 899-0939

Fax(207) 899-0968

Organization SubpartNo

Authorized OfficialBrandon AycockPresident · (401) 765-1500

Enumeration DateNovember 4, 2008

Last NPPES UpdateDecember 10, 202510 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1417100447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers

Taxonomy Code3336S0011X

Definition

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PH50001530 (ME)

141 PREBLE ST, Portland, ME 04101

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Other Names 1

Doing Business AsCvs/pharmacy #48611

Other Identifiers 3

Other2153870Pk

Other1248900057ME · Medicare Nsc

Medicaid1417100447ME

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 Procare Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Procare Pharmacy LLC

DMEPOS supplier · Portland, ME

✔

Accepts Medicare assignment

Procare Pharmacy LLC 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)20345411

Medicare Participant SinceJanuary 1, 2023

Supplier Location141 Preble StPortland, ME 04101

Phone(877) 814-8447

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

Infusion Drugs

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 9

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

DR. EILEEN RITA LEVESQUE PHARMD

Pharmacist