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	333600000X	Pharmacy	3416	AZ
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336M0002X	Mail Order Pharmacy	3416	AZ

General Provider Information

NPI Number	:	1841271756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMARK, L.L.C.

Provider Business Mailing Address
First Line	:	PO BOX 840688
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0688
Country	:	US
Telephone Number	:	800-225-5967
Fax Number	:	909-799-4364

Provider Business Practice Location Address
First Line	:	4121 E COTTON CENTER BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-8849
Country	:	US
Telephone Number	:	602-431-5000
Fax Number	:	602-432-5001

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRANDON MICHAEL AYCOCK
Credential	:
Telephone Number	:	901-438-8738

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	01/02/2026

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