NPIMap

Organization Active NPI

Caremore Health Plan

  • Non-Pharmacy Dispensing Site
  • Modesto, CA
National Provider Identifier
1265805253
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A76149 Issued in CA
Legal business name
CAREMORE HEALTH PLAN
Practice address
1234 McHenry Ave
Modesto, CA 95350-5373
Phone
(209) 544-2554
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
James Rose
Title
Director of Pharmacy
Phone
(562) 862-3684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X A76149 CA Primary

Addresses

Primary practice location

1234 McHenry Ave
Modesto, CA 95350-5373

Mailing address

1234 McHenry Ave
Modesto, CA 95350-5373
Phone (209) 544-2554

Other identifiers 1

IdentifierTypeStateIssuer
2155519OtherPK

Other names 1

  • CareMore Modesto Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caremore5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1234 McHenry Ave
Modesto, CA 95350
Phone (209) 409-3199

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1265805253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505373",
            "telephone_number": "209-544-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505373",
            "telephone_number": "209-544-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMORE HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "562-862-3684"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A76149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155519",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareMore Modesto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.