Organization Active NPI

Advancerx Com L.L.C.

  • Mail Order Pharmacy
  • Wilkes Barre, PA
National Provider Identifier
1326029232
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
PP481166 Issued in PA
Legal business name
ADVANCERX COM L.L.C.
Doing business as
CaremarkPCS Pennsylvania Mail Pharmacy, LLC dba CVS Caremark
Practice address
1 Great Valley Blvd
Wilkes Barre, PA 18706-5324
Phone
(800) 225-5967
Fax
(909) 799-4364
NPI assigned
Nov 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PP481166 PA
Pharmacy 333600000X PP481166 PA
Mail Order Pharmacy 3336M0002X PP481166 PA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1 Great Valley Blvd
Wilkes Barre, PA 18706-5324

Mailing address

1 Great Valley Blvd
Wilkes Barre, PA 18706-5324
Phone (800) 225-5967

Other names 1

  • CaremarkPCS Pennsylvania Mail Pharmacy, LLC dba CVS Caremark Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930096348 PA DME Supplier - Pharmacy 9638178023 Practice locations: Wilkes Barre, PA

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
Advancerx Com L.L.C.1 Great Valley Blvd, Wilkes Barre, PA 18706-5324(570) 820-2700 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Ent… Does not accept assignmentParticipating since Apr 19, 2007

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1 Great Valley Blvd
Wilkes Barre, PA 18706
Phone (570) 820-2700

Practitioners & affiliated clinicians

Practitioners 3

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": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1326029232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREAT VALLEY BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187065324",
            "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": "1 GREAT VALLEY BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187065324",
            "telephone_number": "800-225-5967",
            "fax_number": "909-799-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCERX COM L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "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": "PA",
            "license": "PP481166",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481166",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "PA",
            "license": "PP481166",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaremarkPCS Pennsylvania Mail Pharmacy, LLC dba CVS Caremark",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CaremarkPCS Pennsylvania Mail Pharmacy, LLC dba CVS Caremark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.