Caremark California Specialty Pharmacy, LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PHY53625 Issued in CA

Legal business name

CAREMARK CALIFORNIA SPECIALTY PHARMACY, LLC

Practice address

1110 Research Dr Ste B
Redlands, CA 92374-4562

Phone

(909) 796-7171

Fax

(909) 799-6462

NPI assigned

May 16, 2016

Organization subpart

Yes

Parent organization

CAREMARK, L.L.C.As reported in NPPES

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

Authorized official

Name

Anne Klis

Title

President/Treasurer

Phone

(909) 799-4174

Specialties & licenses 3

Addresses

Other names 1

• CVS specialty Doing business as

Part of

Home Health Care of Ame

Locations

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1700233160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 RESEARCH DR STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744562",
            "telephone_number": "909-796-7171",
            "fax_number": "909-799-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 RESEARCH DR STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744562",
            "telephone_number": "909-796-7171",
            "fax_number": "909-799-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMARK CALIFORNIA SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREMARK, L.L.C.",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "KLIS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "909-799-4174"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY53625",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "CA",
            "license": "PHY53625",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY53625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Redlands, CA
• Providers in Redlands, CA by specialty
• Mail Order Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.