MARYLAND CVS PHARMACY, L.L.C. (NPI# 1730415795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730415795 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 06614 |
| Practice Address |
1008 Pulaski Hwy Havre De Grace MD 21078 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4109396427 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, MANAGED CARE CONTRACT ADM) |
| Authorized Official Telephone | 4017651500 |
| 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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 029246000 DME | 05 | |
| MD | NCPDP | 2134928 | 01 |
| MD | 029237100 RX | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 06614 | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1417028432 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 115 S Piney Rd, Chester, MD 21619-2619 | 2006-11-13 |
| Street Address |
1008 PULASKI HWY |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063821684 | William Walter | Pharmacist | 1008 Pulaski Hwy, Cvs # 6614, Havre De Grace, MD 21078 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| 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 |
|---|---|---|---|---|
| 1154332179 | Sahara Care LLC | Pharmacy | 328 Saint John St, Havre De Grace, MD 21078-2817 | 2006-08-11 |
| 1982637211 | Weis Markets Inc | Pharmacy | 943 Pulaski Hwy, Havre De Grace, MD 21078-2601 | 2006-07-09 |
| 1295819548 | Citizens Pharmacy Services Inc | Pharmacy | 415a Market St, Ste B, Havre De Grace, MD 21078-3301 | 2006-10-24 |
| 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 | ||||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
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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.