NPIMap

Organization Active NPI

Caremark L.L.C.

  • Specialty Pharmacy
  • Boise, ID
National Provider Identifier
1609433085
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
CAREMARK L.L.C.
Practice address
10302 W Emerald St
Boise, ID 83704-8988
Phone
(800) 225-5967
NPI assigned
May 21, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sandy L Campa
Title
Sr. Consultant Payer Relations
Phone
(909) 799-4174

Corporate family (same tax ID) 33

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

View all 33

National Provider Directory

National Provider Directory
Tax ID family
Home Health Care of Ame (34 organizations share this tax ID)

Locations

10302 W Emerald St
Boise, ID 83704
Phone (208) 713-3528

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

NPPES NPI Registry

Primary practice location

10302 W Emerald St
Boise, ID 83704-8988

Mailing address

10302 W Emerald St
Boise, ID 83704-8988
Phone (800) 225-5967

Other names 1

NPPES NPI Registry
  • CVS/specialty #48640 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2019.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1609433085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048988",
            "telephone_number": "800-225-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048988",
            "telephone_number": "800-225-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMARK L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "CAMPA",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR. CONSULTANT PAYER RELATIONS",
        "authorized_official_telephone_number": "909-799-4174"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS/specialty #48640",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.