Provider Demographics
NPI:1013998913
Name:CAREMARK, L.L.C.
Entity Type:Organization
Organization Name:CAREMARK, L.L.C.
Other - Org Name:CVS/SPECIALTY
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 99794
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60696-7594
Mailing Address - Country:US
Mailing Address - Phone:508-634-6800
Mailing Address - Fax:
Practice Address - Street 1:25 BIRCH STREET
Practice Address - Street 2:BLDG. B. SUITE 100
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3585
Practice Address - Country:US
Practice Address - Phone:508-634-6800
Practice Address - Fax:909-799-4364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3416332B00000X, 333600000X, 3336S0011X, 333600000X
332B00000X, 333600000X, 3336H0001X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30002228Medicaid
NJ7272902Medicaid
RICM27720Medicaid
CT003039468Medicaid
NY01681103Medicaid
VT1000596Medicaid
ME194250003Medicaid
MA0435805Medicaid
PA1007362920022Medicaid
551554Medicare ID - Type UnspecifiedNHIC
NH30002228Medicaid