MEDICARE: CAREPLUS DRUGS

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	3336C0003X	Community/Retail Pharmacy	55939	CA

General Provider Information

NPI Number	:	1568961076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREPLUS DRUGS

Provider Business Mailing Address
First Line	:	3530 PORTALS AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93619-8982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4177 W SHAW AVE STE 109
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-6221
Country	:	US
Telephone Number	:	559-385-7413
Fax Number	:	559-981-2297

Authorized Official
Title or Position	:	MANAGER
Name	:	KAMALDEEP KAINTH
Credential	:
Telephone Number	:	559-385-7413

Provider Enumeration Date	:	02/10/2018
Last Update Date	:	05/09/2018

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