Healthcare Provider Details

I. General information

NPI: 1558635342
Provider Name (Legal Business Name): CAREMERICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 OLD EMMORTON RD SUITE 122
BEL AIR MD
21015-6187
US

IV. Provider business mailing address

2227 OLD EMMORTON RD SUITE 122
BEL AIR MD
21015-6187
US

V. Phone/Fax

Practice location:
  • Phone: 443-512-8966
  • Fax: 443-512-8887
Mailing address:
  • Phone: 443-512-8966
  • Fax: 443-512-8887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPW0355
License Number StateMD

VIII. Authorized Official

Name: REDDY ANNAPPAREDDY
Title or Position: OPERATIONS COORDINATOR
Credential:
Phone: 443-676-1100