Provider Demographics
NPI:1629341177
Name:CAREMARK, LLC
Entity Type:Organization
Organization Name:CAREMARK, LLC
Other - Org Name:CAREMARK ADVANCED TECHNOLOGY PHARMACY, L.L.C. DBA CVS CAREMARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-770-3303
Mailing Address - Street 1:1780 WALL ST
Mailing Address - Street 2:
Mailing Address - City:MT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-5790
Mailing Address - Country:US
Mailing Address - Phone:847-634-7959
Mailing Address - Fax:
Practice Address - Street 1:1780 WALL STREET
Practice Address - Street 2:
Practice Address - City:MT. PROSPEC
Practice Address - State:IL
Practice Address - Zip Code:60056
Practice Address - Country:US
Practice Address - Phone:847-634-7959
Practice Address - Fax:909-799-4364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0370440136Medicare NSC