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Contact Information

CAREMARK NEW JERSEY SPECIALTY PHARMACY, L.L.C.
180 PASSAIC AVE
UNIT B-5
FAIRFIELD, NJ07004-3516
 Phone: 800-447-4791
 Fax: 800-266-1644
 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
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CAREMARK NEW JERSEY SPECIALTY PHARMACY, L.L.C.

NPI # 1518948413
LBN Legal business name CAREMARK NEW JERSEY SPECIALTY PHARMACY, L.L.C.
Authorized official BRANDON AYCOCK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2005
Last updated 05/22/2026 - About 2 weeks ago
Identifiers
NJ License # 28RS00517800
NJ Medicaid 6639305
NY Medicaid 00635025
PA Medicaid 1007362920019
NJ Other 214735 MEDICARE B
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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