Provider Demographics
NPI:1578836698
Name:CAREMARK, L.L.C.
Entity Type:Organization
Organization Name:CAREMARK, L.L.C.
Other - Org Name:CAREMARK HAWAII MAIL PHARMACY, LLC DBA CVS CAREMARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-799-4061
Mailing Address - Street 1:2969 MAPUNAPUNA PL STE 110
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-2000
Mailing Address - Country:US
Mailing Address - Phone:808-839-3300
Mailing Address - Fax:
Practice Address - Street 1:2969 MAPUNAPUNA PLACE
Practice Address - Street 2:SUITE 110
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2000
Practice Address - Country:US
Practice Address - Phone:808-839-3300
Practice Address - Fax:808-839-3301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREMARK, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-21
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI332B00000X, 333600000X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0370440137Medicare NSC