CVS Caremark Specialty Pharmacy

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

28RI03474000 Issued in NJ

Legal business name

CVS CAREMARK SPECIALTY PHARMACY

Practice address

180 Passaic Ave
Fairfield, NJ 07004-3516

Phone

(800) 447-4791

NPI assigned

Apr 2, 2014

Last updated

Apr 2, 2014By 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

Monica Gajera, PHARMD.

Title

Pharmacist

Phone

(800) 447-4791

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1700204187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PASSAIC AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043516",
            "telephone_number": "800-447-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PASSAIC AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043516",
            "telephone_number": "800-447-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS CAREMARK SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "GAJERA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "800-447-4791",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "28RI03474000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Elizabeth Cordasco, BS, CNIM
• Alexandra Cosmatos-Young
• Shirley Cresci, PHD, LCSW, CEAP
• Anna Liza Cristobal, RNFA
• Criticare Medical Supplies, LLC
• Bozenna Czaplinska
• Sweta G Dalsania, PA-C
• Thai Son Dang, DO
• Marissa Dantonio
• Yelena Daysudov, RPH

• Exclusive Provider Organization in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.