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Procare Pharmacy, LLC

Specialty Pharmacy in Atlanta, GA · enumerated 2012 · authorized official Brandon Aycock, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417216128

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Registry record

Entity type Organization (Type 2)
Legal business name Procare Pharmacy, LLC
Other name <Unavail>
Practice address 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA, 30345
Fax (404) 367-9199
Enumeration date May 15, 2012
Last updated in NPPES Dec 10, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHRE009830 (GA) Secondary
3336S0011X Specialty Pharmacy Suppliers Primary

Authorized official

Name Brandon Aycock
Title President

Other identifiers

Identifier Type State Issuer
003123975A Medicaid GA -
7G9830 Medicaid SC -
2135141 Other - PK
1417216128 Medicaid VA -
058513900 Medicaid DC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Procare Pharmacy, LLC located?
The practice location on file with NPPES is in Atlanta, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-10.