Provider Demographics
NPI:1134100134
Name:CAREMARK, L.L.C.
Entity Type:Organization
Organization Name:CAREMARK, L.L.C.
Other - Org Name:CAREMARK ILLINOIS SPECIALTY PHARMACY, LLC DBA CAREMARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-225-5967
Mailing Address - Street 1:PO BOX 99794
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60696-7594
Mailing Address - Country:US
Mailing Address - Phone:800-225-5967
Mailing Address - Fax:
Practice Address - Street 1:800 BIERMANN CT
Practice Address - Street 2:STE B
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-2151
Practice Address - Country:US
Practice Address - Phone:877-408-9742
Practice Address - Fax:847-634-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054016056332B00000X, 333600000X, 3336H0001X, 3336M0002X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT220388Medicaid
OH0244855Medicaid
KY5403150500Medicaid
OK1002401801Medicaid
MN886407100Medicaid
PA1007362920036Medicaid
IN200072590AMedicaid
SC712020Medicaid
NJ8535809Medicaid
IA0970517Medicaid
SC712020Medicaid
MT220388Medicaid
OH0244855Medicaid