REA AND DERICK INC P 1835 (NPI# 1720185218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720185218 |
| Entity Type | Organization |
| Organization Name | REA AND DERICK INC P 1835 |
| Other Organization Name | CVS PHARMACY |
| Practice Address |
5500 Buckeystown Pk Frcs Sct Key Mall Frederick MD 21703 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3016628606 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P01188 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2110649 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY | Doing Business As Name - Organization |
| Street Address |
5500 BUCKEYSTOWN PK FRCS SCT KEY MALL |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1982711933 | Trevor Johnson | Physical Therapist | 610 Solarex Court, Frederick, MD 21703 | 2006-08-24 |
| Find all providers in zip 21703 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in FREDERICK | ||||
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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.