Organization Active NPI

Careyou Pharmacy LLC

  • Community/Retail Pharmacy
  • Racine, WI
National Provider Identifier
1619690773
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAREYOU PHARMACY LLC
Practice address
3818 Durand Ave
Racine, WI 53405-4425
Phone
(262) 770-5617
Fax
(262) 770-5618
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Mr. Khurram Shehzad, PHARMDNPI 1295221323
Title
Owner/Pharmacy Manager
Phone
(954) 336-7502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3818 Durand Ave
Racine, WI 53405-4425

Mailing address

3818 Durand Ave
Racine, WI 53405-4425
Phone (262) 770-5617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230102000161 WI Part B Supplier - Mass Immunization (Roster Biller Only) 7517337892 Practice locations: Racine, WI

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2273369Careyou Pharmacy3818 Durand Ave, Racine, WI 53405Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

3818 Durand Ave
Racine, WI 53405
Phone (262) 770-5617

Practitioners & affiliated clinicians

Practitioners 1

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": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1619690773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 DURAND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054425",
            "telephone_number": "262-770-5617",
            "fax_number": "262-770-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 DURAND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054425",
            "telephone_number": "262-770-5617",
            "fax_number": "262-770-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREYOU PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "SHEHZAD",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "954-336-7502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.