NPIMap

Organization Active NPI

Caremark, L.L.C.

Doing business as Caremark Minnesota Specialty Pharmacy, LLC

  • Mail Order Pharmacy
  • Roseville, MN
National Provider Identifier
1124280227
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
CAREMARK, L.L.C.
Doing business as
Caremark Minnesota Specialty Pharmacy, LLC
Practice address
1891 County Road C W
Roseville, MN 55113-1304
Phone
(800) 873-1850
Fax
(866) 317-9510
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. David W. Golding
Title
Vice President
Phone
(800) 225-5967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X NU Primary

Addresses

Primary practice location

1891 County Road C W
Roseville, MN 55113-1304

Mailing address

PO Box 840688
Dallas, TX 75284-0688
Phone (800) 225-5967

Other names 1

  • Caremark Minnesota Specialty Pharmacy, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caremark Homecareinc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1124280227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840688",
            "telephone_number": "800-225-5967",
            "fax_number": "909-799-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 COUNTY ROAD C W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131304",
            "telephone_number": "800-873-1850",
            "fax_number": "866-317-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMARK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GOLDING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-225-5967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caremark Minnesota Specialty Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.