MARYLAND CVS PHARMACY LLC (NPI# 1477987253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477987253 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17663 |
| Practice Address |
3559 Boston St Baltimore MD 21224-5750 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4102468515 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2013-08-28 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07031 | MD | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2141841 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17663 | 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 |
3559 BOSTON ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285673053 | Faye Sari Feldman | Nurse Practitioner | 3559 Boston St, Baltimore, MD 21224-5750 | 2006-06-06 |
| 1386250439 | Moboluwaduro Remi-johnson | Nurse Practitioner | 3559 Boston St, Baltimore, MD 21224-5750 | 2020-09-23 |
| 1043785975 | Ian Byerly | Pharmacist | 3559 Boston St, Baltimore, MD 21224-5750 | 2018-10-08 |
| 1003207408 | Jovon Lewis | Pharmacist | 3559 Boston St, Baltimore, MD 21224-5750 | 2015-02-07 |
| 1619377355 | Megan Lynn Tomlin | Pharmacist | 3559 Boston St, Baltimore, MD 21224-5750 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| 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 |
|---|---|---|---|---|
| 1265049647 | West North Pharmacy, Inc | Pharmacy | 3044 W North Ave Ste A&b, Baltimore, MD 21216-3180 | 2020-09-29 |
| 1770103707 | Molly Wascher | Pharmacy | 5901 Holabird Ave Ste A2, Baltimore, MD 21224-6015 | 2020-04-20 |
| 1609417989 | The Johns Hopkins Hospital | Pharmacy | 5300 Holabird Ave Ste A-1, Baltimore, MD 21224-6010 | 2019-10-08 |
| 1023581279 | Morrell Park Pharmacy LLC | Pharmacy | 2519 Washington Blvd, Baltimore, MD 21230-1406 | 2019-01-09 |
| 1427558527 | Frontier Health Services LLC | Pharmacy | 1251 W Pratt St Ste D, Baltimore, MD 21223-2665 | 2018-02-15 |
| 1851806889 | Aids Healthcare Foundation | Pharmacy | 11 E Lexington St Ste 100, Baltimore, MD 21202-1732 | 2017-12-13 |
| 1801312038 | Comfortial Health System | Pharmacy | 3404 Eastern Ave, Baltimore, MD 21224-4121 | 2017-08-18 |
| 1356874820 | Liberty Pharmacy LLC | Pharmacy | 108 N Eutaw St, Baltimore, MD 21201-2154 | 2017-04-11 |
| 1124561998 | Vdn Pharmacy LLC | Pharmacy | 6821 Reisterstown Rd Ste 207, Baltimore, MD 21215-1482 | 2016-11-29 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| Find all providers in BALTIMORE | ||||
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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.