Provider Demographics
NPI:1447231345
Name:CAREMARK, L.L.C.
Entity Type:Organization
Organization Name:CAREMARK, L.L.C.
Other - Org Name:CVS SPECIALTY
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 1:8370 WOLF LAKE DR
Practice Address - Street 2:SUITE 107
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-7108
Practice Address - Country:US
Practice Address - Phone:901-385-4100
Practice Address - Fax:901-385-4155
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
332B00000X, 3336H0001X, 3336M0002X
TN0000003027333600000X, 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
MS00330012Medicaid
AR120403407Medicaid
TN4429216Medicaid
TN1454242Medicaid
AR120403407Medicaid
AR=========OtherSTATE CHILDREN'S PROGRAM
TN1454242Medicaid
3689932Medicare ID - Type UnspecifiedCGLIC CARRIER