Provider Demographics
NPI:1760464523
Name:CAREMARK LLC
Entity Type:Organization
Organization Name:CAREMARK LLC
Other - Org Name:CAREMARK ILLINOIS MAIL PHARMACY LLC DBA CVS CAREMARK
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 840688
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0688
Mailing Address - Country:US
Mailing Address - Phone:800-225-5967
Mailing Address - Fax:909-799-4364
Practice Address - Street 1:800 BIERMANN CT
Practice Address - Street 2:STE A
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-2151
Practice Address - Country:US
Practice Address - Phone:847-634-7900
Practice Address - Fax:847-634-7832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054015388332B00000X, 333600000X
3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1473898OtherNEW YORK STATE ASSISTANCE PROGRAM (EPIC NEW YORK SENIOR PRESCRIPTION PLAN)
PA1760464523OtherPENNSYLVANIA STATE PROGRAMS: PACE, SPBP & CRDP
NJ0191060Medicaid
IL203171OtherMEDICARE B
NJ0191060OtherNEW JERSEY STATE PROGRAMS: PAAD, SENIOR GOLD, ADDP & CYSTIC FIBROSIS
IL203171OtherMEDICARE B