Organization · NPI-2

Procare Pharmacy Direct, LLC.

Pharmacy, Specialty Pharmacy · Monroeville, PA

NPI number1043382302

StatusActive

Last updated in NPPESDec 10, 2025

Details

NPI: 1043382302
Entity type: Organization (NPI-2)
Legal business name: Procare Pharmacy Direct, LLC.
Organization subpart: No
Enumeration date: Nov 14, 2006
Certification date: Dec 10, 2025
Last updated: Dec 10, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336S0011X	Pharmacy, Specialty Pharmacy	PP-414230-L	PA	Yes
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–
3336H0001X	Pharmacy, Home Infusion Therapy Pharmacy	PP414230L	PA
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
333600000X	Pharmacy	–	–

Other names

Cvs Specialty (Doing Business As)

Practice location

105 Mall Blvd
Monroeville, PA 15146-2230

Phone 800-238-7828

Mailing address

1 Cvs Dr
Box 1075 - Pharmacy Enrollments
Woonsocket, RI 02895-6146

Phone 401-770-7240 · Fax 401-770-7108

Authorized official

Brandon Aycock
President
4017651500

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