Healthcare Provider Details

I. General information

NPI: 1417938820
Provider Name (Legal Business Name): CAREMARK, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7930 WOODLAND CENTER BLVD STE 500
TAMPA FL
33614-2407
US

IV. Provider business mailing address

PO BOX 99794
CHICAGO IL
60696-7594
US

V. Phone/Fax

Practice location:
  • Phone: 800-869-0479
  • Fax: 813-884-8782
Mailing address:
  • Phone: 800-225-5967
  • Fax: 909-799-4364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPH21896
License Number StateFL

VIII. Authorized Official

Name: MARIA MARKOS
Title or Position: PRESIDENT
Credential:
Phone: 401-770-3303