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PROCARE PHARMACY, LLC
NPI 1417216128
Pharmacy - Specialty Pharmacy in Atlanta, GA

Active since May 15, 2012
2700 NORTHEAST EXPY NE, SUITE B-800, ATLANTA, GA 30345(404) 367-9111(404) 367-9199 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, Aug 30, 2023, Jan 23, 2023 and 6 more (9 updates tracked since 2016).

About Procare Pharmacy, Llc NPPES

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

PROCARE PHARMACY, LLC (NPI 1417216128), doing business as Cvs/pharmacy #48637, is a healthcare organization registered as a specialty pharmacy in Atlanta, Georgia and active in the NPI registry since May 2012. The organization lists Brandon Aycock, President, as its authorized official.

NPPES Registry Identity

NPI1417216128
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NamePROCARE PHARMACY, LLC
Location Address2700 NORTHEAST EXPY NE, SUITE B-800Atlanta, GA 30345
Mailing Address1127 Bryn Mawr AveRedlands, CA 92374-4558 · (909) 799-4174 · Fax (909) 799-4364
Phone(404) 367-9111
Fax(404) 367-9199
Organization SubpartNo
Authorized OfficialBrandon AycockPresident · (401) 765-1500
Enumeration DateMay 15, 2012
Last NPPES UpdateDecember 10, 20259 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1417216128 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 PHRE009830 (GA)
2700 NORTHEAST EXPY NE, Atlanta, GA 30345
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Other Names 2

Doing Business AsCvs/pharmacy #48637
Doing Business AsEncompass Rx 48637

Other Identifiers 5

Medicaid003123975AGA
Medicaid7G9830SC
Other2135141Pk
Medicaid1417216128VA
Medicaid058513900DC

Accepted Insurance

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

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Procare Pharmacy, L.L.C. carries, from the Medicare DMEPOS supplier directory.

Procare Pharmacy, L.L.C.

DMEPOS supplier · Atlanta, GA
✔

Accepts Medicare assignment

Procare Pharmacy, L.L.C. 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)20345405
Medicare Participant SinceJanuary 1, 2023
Supplier Location2700 Northeast Expy NE Ste B800Atlanta, GA 30345
Phone(855) 443-9944
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
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 2

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

MIESHIO BROWN
Recreation Therapist
2700 NORTHEAST EXPY NE
ATLANTA, GA 30345
Dekalb County (404) 396-9550
COBB OUTPATIENT DETOX, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2700 NORTHEAST EXPY NE
ATLANTA, GA 30345
Dekalb County (859) 304-4047

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, LLC's NPI number?

The NPI number for Procare Pharmacy, LLC is 1417216128. It was assigned to this organization in the NPPES registry on May 15, 2012. The provider is doing business as Cvs/Pharmacy #48637 and Encompass Rx 48637.

Where is Procare Pharmacy, LLC located?

Procare Pharmacy, LLC is located at 2700 Northeast Expy NE Suite B-800, Atlanta, GA 30345. The listed phone number is (404) 367-9111.

What is Procare Pharmacy, LLC's specialty?

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

Does Procare Pharmacy, LLC accept Medicare assignment for medical equipment?

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

What insurance does Procare Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 29 other insurers list Procare Pharmacy, LLC 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, LLC was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.