Caremark, L.l.c., NPI 1013998921
Pharmacy in Redlands, CA, US

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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
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Organization Official

Official Name John Conroy
Official Position PRESIDENT
Phone 401-770-7658

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

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.

Other Organization Name

CVS/Specialty
Doing Business As

Business Address

Caremark, L.l.c.
1127 Bryn Mawr Ave.
Ste A

Redlands, CA, US

Phone: 909-799-7171
Fax: 909-799-4364

Mailing Address

Caremark, L.l.c.
Po Box 99794
Chicago, IL, US
ZIP 606967594
Phone: 909-799-7171
Fax: 919-799-4364

Secondary Taxonomies

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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