Organization Active NPI

Caremark Puerto Rico Specialty

Doing business as CVS/specialty

  • Specialty Pharmacy
  • Carolina, PR
National Provider Identifier
1053585257
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
CAREMARK PUERTO RICO SPECIALTY
Doing business as
CVS/specialty
Practice address
6020 Ave Roberto Sanchez Vilella
Carolina, PR 00982-3707
Phone
(787) 759-4160
Fax
(909) 799-4364
NPI assigned
Apr 17, 2008
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandon Michael Aycock
Title
President
Phone
(401) 765-1500

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X NU
Mail Order Pharmacy 3336M0002X NU
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

6020 Ave Roberto Sanchez Vilella
Carolina, PR 00982-3707

Mailing address

PO Box 99794
Chicago, IL 60696-7594
Phone (412) 824-2487

Other names 1

  • CVS/specialty Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930059385 PR DME Supplier - Pharmacy 6507063161 Practice locations: Carolina, PR
O20240911002759 PR Part B Supplier - Pharmacy 6507063161 Practice locations: Carolina, PR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Caremark Puerto Rico Specialty6020 Ave Roberto Sanchez Vilella, Carolina, PR 00982-3707(787) 759-4162 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 28, 2008

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6020 Ave Roberto Sanchez Vilella
Carolina, PR 00982
Phone (787) 750-3311

6020 Ave Roberto Sanchez Vilella
#V
Carolina, PR 00982
Phone (787) 759-4162

280 Ave Jesus T Pinero
Ste B
San Juan, PR 00918
Phone (787) 759-4160

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1053585257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99794",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606967594",
            "telephone_number": "412-824-2487",
            "fax_number": "412-717-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 AVE ROBERTO SANCHEZ VILELLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823707",
            "telephone_number": "787-759-4160",
            "fax_number": "909-799-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMARK PUERTO RICO SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "AYCOCK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St #900a",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CVS/specialty",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS/specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.