Provider Demographics
NPI:1225296346
Name:CAREMED LLC
Entity Type:Organization
Organization Name:CAREMED LLC
Other - Org Name:CAREMED LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR OF OPER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:THOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-733-0280
Mailing Address - Street 1:G4433 MILLER RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507
Mailing Address - Country:US
Mailing Address - Phone:866-259-8665
Mailing Address - Fax:810-733-0906
Practice Address - Street 1:G4433 MILLER RD
Practice Address - Street 2:STE 100
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507
Practice Address - Country:US
Practice Address - Phone:866-259-8665
Practice Address - Fax:810-733-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010086903336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2043709OtherPK
MI1225296346Medicaid
5249750002Medicare NSC