MARYLAND CVS PHARMACY LLC (NPI# 1235409889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235409889 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17594 |
| Practice Address |
2384 Brandermill Blvd Gambrills MD 21054-1850 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4433026278 |
| Practice Fax Number | 4433026289 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2016-11-08 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07032 | MD | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133214 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17594 | 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 |
| 1952696197 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 825 Wayne Ave, Silver Spring, MD 20910-4427 | 2011-06-16 |
| Street Address |
2384 BRANDERMILL BLVD |
| City | GAMBRILLS |
| State | MD |
| Zip Code | 21054-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259477 | Farid Israel | Pharmacist | 2384 Brandermill Blvd, Gambrills, MD 21054-1850 | 2019-11-09 |
| 1245622257 | Youngeun Kim | Pharmacist | 2384 Brandermill Blvd, Gambrills, MD 21054-1850 | 2015-02-27 |
| 1346630969 | Traci Wilson | Pharmacy Technician | 2384 Brandermill Blvd, Gambrills, MD 21054-1850 | 2015-02-03 |
| 1891103917 | Elizabeth Rosenberger | Pharmacist | 2384 Brandermill Blvd, Gambrills, MD 21054-1850 | 2014-08-01 |
| 1548603244 | Melinda Randolph | Pharmacist | 2384 Brandermill Blvd, Gambrills, MD 21054-1850 | 2013-04-11 |
| 1982944427 | Darren Michael Moulden | Pharmacist | 2384 Brandermill Blvd, Gambrills, MD 21054-1850 | 2013-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1013515154 | Ls Creative Agency LLC | Durable Medical Equipment & Medical Supplies | 1153 Route 3 North, Suite 10, Gambrills, MD 21054 | 2020-10-12 |
| 1710510540 | Mijeong Joo-bunyard | Physical Therapist | 1153 Md-3n, Suite 35, Gambrills, MD 21054 | 2020-02-20 |
| 1144873043 | Sadia Cheema | Nurse Practitioner | 1071 Md-3 North, Suite 101, Gambrills, MD 21054 | 2019-07-19 |
| 1235699620 | Sara Fiore Schwartz | Nurse Practitioner | 1071 Md-3 Suite 101, Gambrills, MD 21054 | 2019-03-21 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1821546391 | Aamg Physical Therapy, LLC | Speech-Language Pathologist | 1153 Route 3 N, Suite 35, Gambrills, MD 21054 | 2016-09-14 |
| 1780039818 | Drs Ergent Care, LLC | Clinic/Center | 1071 Route 3 N, Gambrills, MD 21054 | 2016-04-26 |
| 1871851212 | Sarsha Blackman | Dentist | 1166 Route 3 South, Suite 211, Gambrills, MD 21054 | 2012-04-23 |
| 1134485535 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1402 S. Main Chapel Way, Suite 114, Gambrills, MD 21054 | 2012-04-10 |
| Find all providers in zip 21054 | ||||
| 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 |
|---|---|---|---|---|
| 1568712313 | Wegmans Food Markets, Inc. | Pharmacy | 1413 S Main Chapel Way, Gambrills, MD 21054-1843 | 2012-09-19 |
| 1104130152 | Rite Aid Pharmacy | Pharmacy | 2633 Brandermill Blvd, Gambrills, MD 21054-1645 | 2010-08-02 |
| 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 | ||||
Please comment or provide details below to improve the information on MARYLAND CVS PHARMACY LLC.
| 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.