Healthcare Provider Details

I. General information

NPI: 1144103862
Provider Name (Legal Business Name): CAREPARTNERS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 WOOD RD STE 100
BRAINTREE MA
02184-2512
US

IV. Provider business mailing address

326 PETERSON RD
LIBERTYVILLE IL
60048-1008
US

V. Phone/Fax

Practice location:
  • Phone: 857-345-0858
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KAMYAR GHAZVINI
Title or Position: CEO
Credential:
Phone: 224-294-1199