Healthcare Provider Details

I. General information

NPI: 1578836698
Provider Name (Legal Business Name): CAREMARK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2012
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2969 MAPUNAPUNA PLACE SUITE 110
HONOLULU HI
96819-2000
US

IV. Provider business mailing address

2969 MAPUNAPUNA PL STE 110
HONOLULU HI
96819-2000
US

V. Phone/Fax

Practice location:
  • Phone: 808-839-3300
  • Fax: 808-839-3301
Mailing address:
  • Phone: 808-839-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number StateHI

VIII. Authorized Official

Name: BRANDON AYCOCK
Title or Position: PRESIDENT
Credential:
Phone: 800-746-7287