Procare Ltc Pharmacy Of Connecticut Llc, NPI 1174807002
Long Term Care Pharmacy in Cheshire, CT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1174807002 |
| NPI Entity Type | Organization |
| Provider Name |
Procare Ltc Pharmacy Of Connecticut Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1492 Highland Ave Ste 1c, Cheshire, CT, US |
| Provider Mailing Address | 230 Sea Ln, Farmingdale, NY, US, 117353900 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | PHARM. D Rajiv Dhadwal |
| Official Position | CHIEF COMPLIANCE OFFICER |
| Phone | 631-815-5821 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Long Term Care Pharmacy |
| Classification | |
| Group | |
| License No. | PCY0002214 |
| License State | CT |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 031744 | NY | No | |||
| PHN11041 | RI | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 02869827 | CT | MEDICAID | 05 |
| 2132865 | PK | 01 |
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