Provider Demographics
NPI:1558635342
Name:CAREMERICA LLC
Entity type:Organization
Organization Name:CAREMERICA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNAPPAREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-676-1100
Mailing Address - Street 1:2227 OLD EMMORTON RD
Mailing Address - Street 2:SUITE 122
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6187
Mailing Address - Country:US
Mailing Address - Phone:443-512-8966
Mailing Address - Fax:443-512-8887
Practice Address - Street 1:2227 OLD EMMORTON RD
Practice Address - Street 2:SUITE 122
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6187
Practice Address - Country:US
Practice Address - Phone:443-512-8966
Practice Address - Fax:443-512-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0002X, 3336C0003X, 3336C0004X, 3336H0001X, 3336L0003X, 3336M0003X
MDPW03553336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2265109Medicaid
2136415OtherNCPDP PROVIDER IDENTIFICATION NUMBER
MD2265109Medicaid