National Provider Identifier Database

PROCARE PHARMACY LLC
Specialty Pharmacy

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.


Contact Information

PROCARE PHARMACY, LLC
2700 NORTHEAST EXPY NE
SUITE B-800
ATLANTA, GA30345
Phone: 404-367-9111
Fax: 404-367-9199
Website:
Specialty Taxonomy Code
* Specialty Pharmacy 3336S0011X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for PROCARE PHARMACY, LLC

NPI Number 1417216128
Legal business name
LBN
PROCARE PHARMACY, LLC
Authorized official BRANDON AYCOCK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/15/2012
Last updated 12/10/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE009830
  • DC Medicaid: 058513900
  • GA Medicaid: 003123975A
  • SC Medicaid: 7G9830
  • VA Medicaid: 1417216128
  • Other: 2135141 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PROCARE PHARMACY, LLC

There are currently no reviews for PROCARE PHARMACY, LLC


NPIdb - Home
v2.201