PROCARE PHARMACY LLC NPI 1730298217

NPI Information

NPI: 1730298217
Provider Name: PROCARE PHARMACY, LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Doing Business As: CVS PHARMACY #02980
Address: 601 S KINGS DR
CHARLOTTE, NC
ZIP 28204
Phone: (866) 827-3129

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NPI Details

PROCARE PHARMACY, LLC is a pharmacy in Charlotte, NC. The provider is 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. PROCARE PHARMACY, LLC NPI is 1730298217. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #02980.

The provider's business location address is:

601 S KINGS DR
CHARLOTTE, NC
ZIP 28204-932
Phone: (866) 827-3129

The provider's authorized official is Susan F Colbert .
The authorized official title is Exec Dir, Rx Services and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 1/11/2023.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
3	3336S0011X	Pharmacy	Specialty Pharmacy			No
4	333600000X	Pharmacy		7759	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0602293 -RX	MEDICAID	NORTH CAROLINA
2	3438682	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

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: 11/21/2025

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