Caremark, L.l.c., NPI 1013998921
Pharmacy in Redlands, CA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1013998921 |
| NPI Entity Type | Organization |
| Provider Name |
Caremark, L.l.c.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1127 Bryn Mawr Ave., Ste A, Redlands, CA, US |
| Provider Mailing Address | Po Box 99794, Chicago, IL, US, 606967594 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | John Conroy |
| Official Position | PRESIDENT |
| Phone | 401-770-7658 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| License No. | PHY39314 |
| License State | CA |
| Description | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| PHY39314 | CA | No | |||
| No | |||||
| PHY39314 | CA | No | |||
| No | |||||
| No | |||||
| PHY39314 | CA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 64251331 | CO | MEDICAID | 05 |
| 003522200 | ID | MEDICAID | 05 |
| 100121500A | IN | MEDICAID | 05 |
| 2889031 | NV | MEDICAID | 05 |
| 5402384100 | KY | MEDICAID | 05 |
| 56913 | NM | MEDICAID | 05 |
| PH335CA | AK | MEDICAID | 05 |
| 01104241 | NY | MEDICAID | 05 |
| 0436283 | MA | MEDICAID | 05 |
| 1013998921 | MT | MEDICAID | 05 |
| 648357700 | MN | MEDICAID | 05 |
| PHA393140 | CA | STATE CHILDREN'S PROGRAM | 01 |
| 1013998921 | IL | MEDICAID | 05 |
| 0591796 | MI | MEDICAID | 05 |
| 1013998921 | IA | MEDICAID | 05 |
| 505282300 | MD | MEDICAID | 05 |
| 5589207 | NJ | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| CONNECT | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | 16.840.1.113883.3.667.2 | OTHER | Yes | 100 N 6th St #900a,, Minneapolis, MN, US |
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