MARYLAND CVS PHARMACY, L.L.C. (NPI# 1154420503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154420503 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 06765 |
| Practice Address |
2003 Davidsonville Rd Crofton MD 21114-1317 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4107213762 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-11-15 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | P04175 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2131996 | 01 | |
| MD | 3311147 00 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 06765 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761851 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 10201 Reisterstown Rd, Owings Mills, MD 21117-3634 | 2018-02-22 |
| 1255887865 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 157 Ritchie Highway, Severna Park, MD 21146-1130 | 2016-09-01 |
| 1700236783 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3200 St. Paul St., Baltimore, MD 21218 | 2016-06-21 |
| 1689022386 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 934 N. Charles St., Baltimore, MD 21201-5310 | 2016-06-03 |
| 1730415795 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1008 Pulaski Hwy, Havre De Grace, MD 21078 | 2009-10-27 |
| 1386819316 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 630 Exeter St, Baltimore, MD 21202 | 2008-04-30 |
| 1619178282 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1519 Rock Spring Road, Forest Hill, MD 21050 | 2007-05-30 |
| 1831258177 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2006-12-06 |
| 1407915556 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 7035 Indian Head Hwy, Bryans Road, MD 20616-3234 | 2006-12-06 |
| 1003988783 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 7400 Ritchie Hwy, Glen Burnie, MD 21061-3110 | 2006-11-15 |
| Street Address |
2003 DAVIDSONVILLE RD |
| City | CROFTON |
| State | MD |
| Zip Code | 21114-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988905 | Vincent A Ojo | Pharmacist | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2020-09-29 |
| 1184267791 | Cathrine R Yeager | Nurse Practitioner | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2019-10-26 |
| 1316417579 | Aretha Lee | Nurse Practitioner | 2003 Davidsonville Rd, Crofton, MD 21114 | 2018-11-30 |
| 1376020438 | Shannon Han | Nurse Practitioner | 2003 Davidsonville Rd, Crofton, MD 21114 | 2018-07-23 |
| 1710380134 | Jennifer Keith | Pharmacist | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2014-09-30 |
| 1558761809 | Philip Owusu | Pharmacist | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2014-08-23 |
| 1306245931 | Alexander Woody | Pharmacist | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2014-08-20 |
| 1497154157 | Ariana Schettino | Pharmacist | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2014-08-19 |
| 1326447004 | Nana Choi | Pharmacist | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2014-08-19 |
| 1194124057 | Karen Snyder | Pharmacist | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2014-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1972067494 | Brightview Crofton, LLC | Alzheimer Center (Dementia Center) | 1301 Clarity Drive, Crofton, MD 21114 | 2019-01-29 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1326594201 | Evette Shields | Adult Companion | 1617 Parkridge Circle #152, Crofton, MD 21114 | 2016-08-30 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| Find all providers in zip 21114 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730110719 | K Mart Corp | Pharmacy | 1647 Crofton Ctr, Crofton, MD 21114-1318 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537527 | Obra Pharmacy, LLC | Pharmacy | 15525 New Hampshire Ave, Silver Spring, MD 20905-4077 | 2020-10-27 |
| 1598364275 | Lex Pharmacy LLC | Pharmacy | 26 Solomons Island Rd S, Prince Frederick, MD 20678-5312 | 2020-10-22 |
| 1023615325 | Rx Rhamp LLC | Pharmacy | 11747 Owens Glen Way, North Potomac, MD 20878-2361 | 2020-10-08 |
| 1265049647 | West North Pharmacy, Inc | Pharmacy | 3044 W North Ave Ste A&b, Baltimore, MD 21216-3180 | 2020-09-29 |
| 1316567977 | Jant Pharmacy | Pharmacy | 8771 Piney Orchard Pkwy, Odenton, MD 21113-2245 | 2020-04-23 |
| 1770103707 | Molly Wascher | Pharmacy | 5901 Holabird Ave Ste A2, Baltimore, MD 21224-6015 | 2020-04-20 |
| 1275167827 | Elevation Rx LLC | Pharmacy | 7651 Matapeake Business Dr Ste 114, Brandywine, MD 20613-3038 | 2020-02-22 |
| 1871123000 | Geipe Pharmacy | Pharmacy | 516 N Rolling Rd Ste 101, Catonsville, MD 21228-4141 | 2020-01-15 |
| 1306488853 | Urbana Pharmacy | Pharmacy | 3420 Worthington Blvd Ste B, Frederick, MD 21704-7020 | 2019-10-16 |
| 1609417989 | The Johns Hopkins Hospital | Pharmacy | 5300 Holabird Ave Ste A-1, Baltimore, MD 21224-6010 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.