NPIMap

Organization Active NPI

Caremax Medical Resources, LLC

  • Pharmacy
  • Centennial, CO
National Provider Identifier
1235338211
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PDO-679 Issued in CO
Legal business name
CAREMAX MEDICAL RESOURCES, LLC
Practice address
373 Inverness Pkwy
Suite 207
Centennial, CO 80112-5814
Phone
(303) 662-8383
NPI assigned
Jul 11, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Bryant Moshang
Title
Controller
Phone
(410) 910-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PDO-679 CO Primary

Addresses

Primary practice location

373 Inverness Pkwy
Suite 207
Centennial, CO 80112-5814

Mailing address

13111 Collection Center Dr
Chicago, IL 60693-0131

Other identifiers 3

IdentifierTypeStateIssuer
0620244OtherCONCPDP
60981393MedicaidCOMEDICAID (PHARMACY)
PDO-679OtherCOPHARMACY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Caremax Medical Resources LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

373 Inverness Pkwy
Ste 207
Centennial, CO 80112
Phone (303) 649-1776

13111 Collection Ctr Dr
Chicago, IL 60693

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235338211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 INVERNESS PKWY",
            "address_2": "SUITE 207",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801125814",
            "telephone_number": "303-662-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMAX MEDICAL RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOSHANG",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "410-910-1500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "PDO-679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0620244",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "MEDICAID (PHARMACY)",
            "identifier": "60981393",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PDO-679",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.