CAREMARK, LLC — NPI 1629341177 (Licensed & Credentialed Suppliers — Pharmacy, Mail Order Pharmacy in MT. PROSPEC, IL)

CMS-1500 Box 24J / 33a • NPI

1629341177

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336M0002X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Mail Order Pharmacy

Box 32 Service Location & ZIP+4

1780 WALL STREET, MT. PROSPEC, IL, 60056

Official NPPES Practice Location

Practice Phone & Referral Fax

(847) 634-7959

Fax: (909) 799-4364

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629341177 (CAREMARK, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629341177` (NPI-2 Organization / Facility)
Provider / Legal Name	CAREMARK, LLC
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Mail Order Pharmacy NUCC Code: `3336M0002X` (Pharmacy, Mail Order Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1780 WALL STREET, MT. PROSPEC, IL, 60056
Practice Telephone / Fax	Tel: (847) 634-7959 \| Fax: (909) 799-4364
Administrative Mailing Address	1780 WALL ST, MT PROSPECT, IL, 60056-5790
Enumeration & Last Sync	Enumerated: 2012-02-14 \| CMS Record Updated: 2025-12-09
Authorized Official	BRANDON AYCOCK (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1780 WALL STREET, MT. PROSPEC, IL, 60056

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Plain-English Taxonomy & CMS Crosswalk (3336M0002X)

What Does Taxonomy Code 3336M0002X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336M0002X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Mail Order Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Mail Order Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CAREMARK, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336H0001X` — Pharmacy, Home Infusion Therapy Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Home Infusion Therapy Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`3336S0011X` — Pharmacy, Specialty Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`333600000X` — Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`3336M0002X` — Pharmacy, Mail Order Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Mail Order Pharmacy	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CAREMARK, LLC (NPI #1629341177)