MARYLAND CVS PHARMACY LLC (NPI# 1225050982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225050982 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17086 |
| Practice Address |
1330 Martin Blvd Middle River MD 21220-4104 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4104069082 |
| Practice Fax Number | 4104069082 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 |
P07039 | MD | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2037997 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17086 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1851948079 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6163 Oxon Hill Rd, Oxon Hill, MD 20745-3108 | 2019-08-22 |
| 1023500766 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7706 Milestone Pkwy, Hanover, MD 21076 | 2018-05-30 |
| 1700265071 | Maryland Cvs Pharmacy LLC | Pharmacy | 7501 Baltimore Ave Ste 1, College Park, MD 20740-3651 | 2015-05-20 |
| 1326439365 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd., Hollywood, MD 20636 | 2015-02-12 |
| 1851797435 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 N Wolfe St, Baltimore, MD 21231-1623 | 2014-11-10 |
| 1285035204 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1500 Ritchie Hwy, Arnold, MD 21012-2400 | 2014-09-09 |
| 1710386602 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5405 Lynx Lane, Columbia, MD 21044 | 2014-08-18 |
| 1689935132 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1016 S Salisbury Blvd, Salisbury, MD 21801-6361 | 2012-05-31 |
| 1235409889 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2384 Brandermill Blvd, Gambrills, MD 21054-1850 | 2012-01-12 |
| Street Address |
1330 MARTIN BLVD |
| City | MIDDLE RIVER |
| State | MD |
| Zip Code | 21220-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417434929 | Daniela Morrone | Pharmacist | 1330 Martin Blvd, Middle River, MD 21220-4104 | 2018-07-26 |
| 1164812863 | Holly Long | Pharmacy Technician | 1330 Martin Blvd, Middle River, MD 21220-4104 | 2015-02-02 |
| 1700276698 | Lauren Lake | Pharmacy Technician | 1330 Martin Blvd, Middle River, MD 21220-4104 | 2015-01-29 |
| 1700276706 | Samantha Gard | Technician, Other | 1330 Martin Blvd, Middle River, MD 21220-4104 | 2015-01-28 |
| 1366832453 | Chelsi Nizer | Pharmacy Technician | 1330 Martin Blvd, Middle River, MD 21220-4104 | 2015-01-28 |
| 1609266600 | Amy Marie Linthicum | Technician, Other | 1330 Martin Blvd, Middle River, MD 21220-4104 | 2015-01-28 |
| 1619264736 | Ralph Melson | Pharmacist | 1330 Martin Blvd, T-1970, Middle River, MD 21220-4104 | 2011-07-10 |
| 1689961781 | Sheena Renee Williams | Pharmacist | 1330 Martin Blvd, T-1970, Middle River, MD 21220-4104 | 2011-07-09 |
| 1376837351 | Candice Ann Angelilli | Pharmacist | 1330 Martin Blvd, T-1970, Middle River, MD 21220-4104 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164119 | Sian Crosby | Speech-Language Pathologist | Glenmar Elementrary School, 9700 Community Drive, Middle River, MD 21220 | 2018-11-29 |
| 1336545029 | Andrea Tuck | Counselor | 24 Granny Smith Ct, Baltimore, MD 21220 | 2014-11-07 |
| 1356762959 | Johns Hopkins Hospital | General Acute Care Hospital | 11550 Crossroad Circle, Unit 606, Middle River, MD 21220 | 2013-12-27 |
| 1770693392 | Costco Wholesale Corporation | Pharmacy | 9919 Pulaski Hwy, Baltimore, MD 21220 | 2006-08-30 |
| 1255393344 | James Wallace Carpenter | Physician Assistant | 10 North Green St, Va Med Center Ward 6b, Baltimore, MD 21220 | 2006-04-04 |
| 1386624427 | Allen F Clowers | Family Medicine | 107 Beacon Road, Baltimore, MD 21220 | 2006-01-17 |
| 1306229794 | Dorcas Lwanga | Dietitian, Registered | 201 Ballard Ave, Middle River, MD 21220 | 2015-07-02 |
| 1437550761 | Eastern Avenue Dental, LLC | Dentist | 12412 Eastern Ave, Baltimore, MD 21220 | 2014-09-05 |
| 1366857617 | Suprina Kaur | Dentist | 12412 Eastern Ave, Middle River, MD 21220 | 2014-06-25 |
| 1316905227 | Chienyenwa E. Nwachinemere | Internal Medicine | 201 Ballard Ave, Middle River, MD 21220 | 2006-05-02 |
| Find all providers in zip 21220 | ||||
| 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] |
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| 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 | ||||
| City | MIDDLE RIVER |
| Zip Code | 21220 |
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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.