Provider Demographics
NPI:1396819827
Name:CARE FIRST PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:CARE FIRST PHARMACY SERVICES LLC
Other - Org Name:CARE FIRST PHARMACY SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-802-0160
Mailing Address - Street 1:1015 N VINE ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-2025
Mailing Address - Country:US
Mailing Address - Phone:570-802-0160
Mailing Address - Fax:570-802-0161
Practice Address - Street 1:1015 N VINE ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-2025
Practice Address - Country:US
Practice Address - Phone:570-802-0160
Practice Address - Fax:570-802-0161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336L0003X
PAPP481647333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101784187001Medicaid
2081698OtherPK
PA101784187001Medicaid
PA5953160001Medicare NSC