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CAREMARK L.L.C. NPI 1013998921


NPI Information

NPI: 1013998921
Provider Name: CAREMARK, L.L.C.

Doing Business As: CVS/SPECIALTY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1127 BRYN MAWR AVE.
STE A
REDLANDS, CA
ZIP 92374
Phone: (909) 799-7171
Get Directions

CAREMARK, L.L.C. is a pharmacy in Redlands, CA. 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. CAREMARK, L.L.C. NPI is 1013998921. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs/specialty.

The provider's business location address is:

1127 BRYN MAWR AVE.
STE A
REDLANDS, CA
ZIP 92374-558
Phone: (909) 799-7171
Fax: (909) 799-4364

The provider's authorized official is John Conroy .
The authorized official title is President and has the following contact phone number (401) 770-7658.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 7/14/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332B00000XDurable Medical Equipment & Medical SuppliesPHY39314CALIFORNIANo
3333600000XPharmacyNo
4333600000XPharmacyPHY39314CALIFORNIAYes
53336H0001XPharmacyHome Infusion Therapy PharmacyNo
63336H0001XPharmacyHome Infusion Therapy PharmacyPHY39314CALIFORNIANo
73336S0011XPharmacySpecialty PharmacyNo
83336S0011XPharmacySpecialty PharmacyPHY39314CALIFORNIANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10436283MEDICAIDMASSACHUSETTS
25402384100MEDICAIDKENTUCKY
364251331MEDICAIDCOLORADO
4003522200MEDICAIDIDAHO
5100121500AMEDICAIDINDIANA
6648357700MEDICAIDMINNESOTA
701104241MEDICAIDNEW YORK
80591796MEDICAIDMICHIGAN
91013998921MEDICAIDILLINOIS
102889031MEDICAIDNEVADA
111013998921MEDICAIDIOWA
12505282300MEDICAIDMARYLAND
13PHA393140OTHERCALIFORNIASTATE CHILDREN'S PROGRAM
141013998921MEDICAIDMONTANA
155589207MEDICAIDNEW JERSEY
1656913MEDICAIDNEW MEXICO
17PH335CAMEDICAIDALASKA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.