PROCARE LTC OF SYRACUSE LLC NPI 1326684069

NPI Information

  • NPI: 1326684069
  • Provider Name: PROCARE LTC OF SYRACUSE, LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 105 TWIN OAKS DR
    SYRACUSE, NY
    ZIP 13206
  • Phone: (315) 800-6400

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NPI Details

PROCARE LTC OF SYRACUSE, LLC is a long term care pharmacy pharmacy in Syracuse, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PROCARE LTC OF SYRACUSE, LLC NPI is 1326684069. The provider is registered as an organization entity type.

The provider's business location address is:

105 TWIN OAKS DR
SYRACUSE, NY
ZIP 13206-205
Phone: (315) 800-6400
Fax: (315) 800-6401

The provider's authorized official is Bincy Varghese .
The authorized official title is Director Of Compliance and has the following contact phone number (631) 359-9711.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose (HCPCS:0002A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 11/18/2019 and was last updated on 10/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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