Organization
CAREMARK L.L.C.
Active
Other names
CVS/Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MICHAEL AYCOCK (PRESIDENT)
(901) 438-8738
Entity
Organization
Contact information
Practice address
10700 WORLD TRADE BLVD., STE 110, RALEIGH, NC 27617-4220
(919) 474-6421
(919) 799-4364
Mailing address
PO BOX 99794, CHICAGO, IL 60696-7594
(919) 474-6421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
09934
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
09934
NC
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
09934
NC
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
09934
NC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124009121
—
VA
05
—
770051
—
NC
05
—
7N9934
—
SC
Enumeration date
11/08/2005
Last updated
01/02/2026
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