MARYLAND CVS PHARMACY, L.L.C.


Address: 402 S Jefferson St, Frederick, MD 21701-6208
Phone: 3016634861

MARYLAND CVS PHARMACY, L.L.C. (NPI# 1669576591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669576591
Entity Type Organization
Organization Name MARYLAND CVS PHARMACY, L.L.C.
Other Organization Name CVS PHARMACY # 01484
Practice Address 402 S Jefferson St
Frederick
MD 21701-6208
Mailing Address 1 Cvs Dr
Po Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 3016634861
Mailing Telephone 4017651500
Mailing Fax Number 4017707108
Enumeration Date 2006-09-12
Last Update Date 2012-03-23
Authorized Official Name SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

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 P00541 MD Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MD 3621171 00 05
OTHER ID NUMBER-COMMERCIAL NUMBER 2100927 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY # 01484 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 402 S JEFFERSON ST
City FREDERICK
State MD
Zip Code 21701-6208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730582040 Nickeea Chalmers-scott Nurse Practitioner 402 S Jefferson St, Frederick, MD 21701-6208 2014-09-30
1275933426 Martins Adeogun Pharmacist 402 S Jefferson St, Frederick, MD 21701-6208 2014-08-25
1770982290 Karen Durkin Pharmacist 402 S Jefferson St, Frederick, MD 21701-6208 2014-08-20
1912306044 Allen Mbella Pharmacist 402 S Jefferson St, Frederick, MD 21701-6208 2014-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225670045 Alana Earp Social Worker 810 Toll House Avenue, Frederick, MD 21701 2019-10-14
1851866065 Main Place Treatment Centers LLC. Clinic/Center 127 S. Smallwood Street, Frederick, MD 21701 2018-10-04
1649775933 Old Fashion Medicine, Inc Internal Medicine 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 2018-03-28
1063917938 Kristin Deely Nurse Practitioner 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 2018-03-24
1689180119 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 300 B Scholls Lane, Frederick, MD 21701 2017-12-20
1326590068 Natalie Reid Nurse Practitioner 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 2016-10-28
1649727967 Scl Corpration In Home Supportive Care 550 Highland Street, Suite 110, Frederick, MD 21701 2016-09-02
1891159661 Wellave, LLC Clinic/Center 411 Aviation Way Ste 245, Frederick, MD 21701 2016-04-07
1144694969 Leslee Bry Counselor 120 W Church St Ste 3b, Frederick, MD 21701 2015-11-17
1851797732 Frederick Dental Dentist 401 W 7th Street, Frederick Dental, Frederick, MD 21701 2014-11-05
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306488853 Urbana Pharmacy Pharmacy 3420 Worthington Blvd Ste B, Frederick, MD 21704-7020 2019-10-16
1942741392 Dnk Health LLC Pharmacy 1080 W Patrick St, Unit #10, Frederick, MD 21703-3972 2017-03-18
1073946349 Your Asthma Care Pharmacy, Inc. Pharmacy 5112 Pegasus Ct, Suite X-b, Frederick, MD 21704-8303 2013-08-09
1578854139 Wegmans Food Markets Inc Pharmacy 7830 Wormans Mill Rd, Frederick, MD 21701-3034 2011-04-29
1306956925 Costco Wholesale Corporation Pharmacy 10 Monocacy Blvd, Frederick, MD 21704 2006-08-30
1407867641 Giant Eagle Inc Pharmacy 1305 W 7th St, Frederick, MD 21702-4102 2006-08-11
1083629992 Giant Eagle Inc Pharmacy 1275 W Patrick St, Frederick, MD 21702-4886 2006-07-29
1003841040 Weis Markets Inc Pharmacy 6093 Spring Ridge Pkwy, Frederick, MD 21701-5898 2006-07-11
1336173210 Weis Markets Inc Pharmacy 2 Old Camp Rd, Frederick, MD 21702-3740 2006-07-10
1528091857 Weis Markets Inc Pharmacy 448 Prospect Blvd, Frederick, MD 21701-6400 2006-07-09
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Competitor

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City FREDERICK
Zip Code 21701

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Dataset Information

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.

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