Provider Demographics
NPI:1225626989
Name:XECARE LLC
Entity Type:Organization
Organization Name:XECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUGGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:855-918-4467
Mailing Address - Street 1:9750 INNOVATION CAMPUS WAY
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-7708
Mailing Address - Country:US
Mailing Address - Phone:855-918-4467
Mailing Address - Fax:833-302-1460
Practice Address - Street 1:9750 INNOVATION CAMPUS WAY
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-7708
Practice Address - Country:US
Practice Address - Phone:855-918-4467
Practice Address - Fax:833-302-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0230000010OtherPHARMACY LICENSE