Organization
CAREMARK L.L.C.
Active
Other names
CVS/Specialty, Caremark Kansas Specialty Pharmacy, LLC dba CVS/specialty
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON AYCOCK (PRESIDENT)
(800) 225-5967
Entity
Organization
Contact information
Practice address
11162 RENNER BOULEVARD, LENEXA, KS 66219-9621
(800) 360-0520
(909) 799-4364
Mailing address
PO BOX 99794, CHICAGO, IL 60696-7594
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
209977
KS
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
209977
KS
333600000X
Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212979
—
MT
05
—
0921122
—
IA
05
—
116543700
—
WY
05
—
601353311
—
MO
05
—
8533393
—
SD
Enumeration date
11/08/2005
Last updated
12/09/2025
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