Organization Active NPI

Care RX LLC

  • Long Term Care Pharmacy
  • Stockton, CA
National Provider Identifier
1821170366
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
54574 Issued in CA
Legal business name
CARE RX LLC
Practice address
7720 Lorraine Ave
Stockton, CA 95210-4203
Phone
(209) 957-8787
Fax
(209) 951-1456
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
John Mack
Title
Ceo
Phone
(800) 330-3665

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 54574 CA Primary

Addresses

Primary practice location

7720 Lorraine Ave
Stockton, CA 95210-4203

Mailing address

18110 SE 34TH St Ste 270
Vancouver, WA 98683-9440
Phone (800) 330-3665

Other identifiers 2

IdentifierTypeStateIssuer
1821170366MedicaidCA
2168375OtherPK

Other names 1

  • Pharmacy Care Concepts Doing business as

National Provider Directory

National Provider Directory

Locations

7720 Lorraine Ave
Stockton, CA 95210
Phone (209) 957-8787

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1821170366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18110 SE 34TH ST STE 270",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839440",
            "telephone_number": "800-330-3665",
            "fax_number": "800-982-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 LORRAINE AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104203",
            "telephone_number": "209-957-8787",
            "fax_number": "209-951-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-330-3665"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "54574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821170366",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Care Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.