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Contact Information

CAREMARK, L.L.C.
25 BIRCH STREET
BLDG. B. SUITE 100
MILFORD, MA01757-3585
 Phone: 508-634-6800
 Fax: 909-799-4364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CAREMARK, L.L.C.

NPI # 1013998913
LBN Legal business name CAREMARK, L.L.C.
Authorized official BRANDON AYCOCK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2005
Last updated 12/09/2025 - About 6 months ago
Identifiers
MA License # 3416
CT Medicaid 003039468
MA Medicaid 0435805
ME Medicaid 194250003
NH Medicaid 30002228
NJ Medicaid 7272902
NY Medicaid 01681103
PA Medicaid 1007362920022
RI Medicaid CM27720
VT Medicaid 1000596
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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