Provider Demographics
NPI:1699371666
Name:CAREGENT
Entity Type:Organization
Organization Name:CAREGENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOMAKO
Authorized Official - Suffix:
Authorized Official - Credentials:PMP
Authorized Official - Phone:917-385-4772
Mailing Address - Street 1:35 TANTUM CT
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-4455
Mailing Address - Country:US
Mailing Address - Phone:917-385-4772
Mailing Address - Fax:609-379-8490
Practice Address - Street 1:35 TANTUM CT
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-4455
Practice Address - Country:US
Practice Address - Phone:917-385-4772
Practice Address - Fax:609-379-8490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy