Caremark, L.L.C.

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PHY663 Issued in HI

Legal business name

CAREMARK, L.L.C.

Doing business as

Caremark Hawaii Specialty Pharmacy, LLC dba CVS Caremark

Practice address

970 N Kalaheo Ave
Ste C106 Pali Palms Plaza
Kailua, HI 96734-1866

Phone

(800) 834-8447

Fax

(808) 254-6153

NPI assigned

Nov 8, 2005

Last updated

Sep 15, 2009By the provider in NPPES

Organization subpart

No

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 4

Addresses

Other identifiers 3

Other names 1

• Caremark Hawaii Specialty Pharmacy, LLC dba CVS Caremark Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Caremark LLC

  dba Caremark Hawaii Mail Pharmacy, LLC dba CVS Caremark

  • Mail Order Pharmacy
  • Honolulu, HI
  • NPI 1578836698

  O20040315000810

  Same enrollment

Member of 1

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

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Randall Chung, PHARMD

  • Pharmacist
  • Milford, MA
  • NPI 1104532597
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1326029323",
    "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": "970 N KALAHEO AVE",
            "address_2": "STE C106 PALI PALMS PLAZA",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "800-834-8447",
            "fax_number": "808-254-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMARK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2009-09-15",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "PHY 663",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PHY633",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "HI",
            "license": "PHY663",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "HI",
            "license": "PHY663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C0098972",
            "state": "GU"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56672101",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "H0000PCCCZ",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caremark Hawaii Specialty Pharmacy, LLC dba CVS Caremark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Ann Caneda, LMFT, LMHC
• Canyon Primary Care LLC (Kailua Primary Care)
• Sarah Canyon, MD PHD
• Cardiothoracic Associates of Hawaii LLC
• Caremark LLC (Caremark)
• Gloria N Carlile
• Angela Carlson Broff, MSCP
• Jonathan David Carlson, M.D.
• Alexandria Carlyle, DMD
• Carmenne Chiasson PHD Inc (Carmenne Chiasson, PhD)

• Specialty Pharmacy in Kailua, HI
• Providers in Kailua, HI by specialty
• Specialty Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.