Organization
CAREMARK, L.L.C.
Active
Other names
CVS/Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON AYCOCK (PRESIDENT)
(401) 770-3303
Entity
Organization
Contact information
Practice address
1127 BRYN MAWR AVE., STE A, REDLANDS, CA 92374-4558
(909) 799-7171
(909) 799-4364
Mailing address
PO BOX 99794, CHICAGO, IL 60696-7594
(909) 799-7171
(919) 799-4364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY39314
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PHY39314
CA
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
PHY39314
CA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PHY39314
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003522200
—
ID
05
—
01104241
—
NY
05
—
0436283
—
MA
05
—
0591796
—
MI
05
—
100121500A
—
IN
05
—
1013998921
—
IA
05
—
1013998921
—
IL
05
—
1013998921
—
MT
05
—
2889031
—
NV
05
—
505282300
—
MD
05
—
5402384100
—
KY
05
—
5589207
—
NJ
05
—
56913
—
NM
05
—
64251331
—
CO
05
—
648357700
—
MN
05
—
PH335CA
—
AK
01
—
PHA393140
STATE CHILDREN'S PROGRAM
CA
Enumeration date
11/08/2005
Last updated
12/10/2025
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