Provider Demographics
NPI:1447786298
Name:CAREMART PHARMACY LLC
Entity Type:Organization
Organization Name:CAREMART PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUKHJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-923-6500
Mailing Address - Street 1:9502 VAN WYCK EXPY
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-1638
Mailing Address - Country:US
Mailing Address - Phone:347-872-6366
Mailing Address - Fax:
Practice Address - Street 1:9502 VAN WYCK EXPY
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1638
Practice Address - Country:US
Practice Address - Phone:917-923-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy