Organization
CAREMARK, L.L.C.
Active
Other names
Caremark New Jersey Specialty Pharmacy, LLC dba CVS Caremark
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MICHAEL AYCOCK (PRESIDENT)
(901) 438-8738
Entity
Organization
Contact information
Practice address
180 PASSAIC AVE, UNIT B-5, FAIRFIELD, NJ 07004-3516
(800) 447-4791
(800) 266-1644
Mailing address
PO BOX 840688, DALLAS, TX 75284-0688
(800) 225-5967
(909) 799-4364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
28RS00517800
NJ
3336H0001X
Home Infusion Therapy Pharmacy
28RS00517800
NJ
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635025
—
NY
05
—
1007362920019
—
PA
01
—
214735
MEDICARE B
NJ
05
—
6639305
—
NJ
Enumeration date
11/08/2005
Last updated
05/15/2026
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