MEDICARE: CAREMARK, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	054016056	IL
2	3336M0002X	Mail Order Pharmacy	054016056	IL
3	3336H0001X	Home Infusion Therapy Pharmacy	054016056	IL
4	333600000X	Pharmacy	054016056	IL
5	3336S0011X	Specialty Pharmacy	054016056	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134100134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMARK, L.L.C.

Provider Business Mailing Address
First Line	:	PO BOX 99794
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60696-7594
Country	:	US
Telephone Number	:	800-225-5967
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 BIERMANN CT
Second Line	:	STE B
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-2151
Country	:	US
Telephone Number	:	877-408-9742
Fax Number	:	847-634-7400

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRANDON AYCOCK
Credential	:
Telephone Number	:	800-225-5967

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	12/09/2025

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Directions to “CAREMARK, L.L.C. ” Practice Location

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