MARYLAND CVS PHARMACY LLC (NPI# 1821010570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821010570 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16396 |
| Practice Address |
3343 Corridor Marketplace Laurel MD 20724-2378 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3014830949 |
| Practice Fax Number | 2406163974 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-12-20 |
| 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 |
P07023 | MD | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1040669 00 | 05 | |
| PK | 2035876 | 01 | |
| MD | DME | 3001474 00 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16396 | 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 |
3343 CORRIDOR MARKETPLACE |
| City | LAUREL |
| State | MD |
| Zip Code | 20724-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914822 | Lucy Charlene Kapche Wafo | Pharmacist | 3343 Corridor Marketplace, Laurel, MD 20724-2378 | 2020-08-28 |
| 1851678031 | Nisha P Purohit | Pharmacist | 3343 Corridor Marketplace, Laurel, MD 20724-2378 | 2011-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1619456720 | Franklin F Cho Tumasang | Home Health Aide | 8085 Pennington Dr, Laurel, MD 20724 | 2018-08-09 |
| 1134622871 | Alberta Derkyi | Nurse Practitioner | 3404 Bitterwood Place, #i003, Laurel, MD 20724 | 2018-03-08 |
| 1497272892 | Kelly Elise Ferguson | Acupuncturist | 3115 Burning Springs Rd Apt 2a, Laurel, MD 20724 | 2017-08-25 |
| 1245752625 | Ngwe Ernestine Ndikum | Home Health Aide | 3573 Fort Meade Road Apt 512, Laurel, MD 20724 | 2017-07-07 |
| 1063943496 | Jennifer Nowell | Counselor | 3407 Holly Creek Drive Apt 1a, Laurel, MD 20724 | 2017-03-27 |
| 1912369315 | Josiane Kameni Sahok | Home Health Aide | 8057 Ians Alley, Laurel, MD 20724 | 2016-03-24 |
| 1851641955 | Kelvinda Kamara | Nurse Practitioner | 7903 Orion Circle, D234 Nurse Practitioner On Call, Laurel, MD 20724 | 2012-09-16 |
| 1164787578 | Kaday Jalloh | Home Health Aide | 8605 Woodland Manor Drive, Laurel, MD 20724 | 2012-07-11 |
| Find all providers in zip 20724 | ||||
| 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 |
|---|---|---|---|---|
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| 1225494974 | Pax Pharmacy LLC | Pharmacy | 9900 Washington Blvd N Ste G, Laurel, MD 20723-1972 | 2016-01-11 |
| 1740565357 | Anika Pharmacy Corp | Pharmacy | 13929 Baltimore Ave Ste 4, Laurel, MD 20707-5045 | 2011-10-14 |
| 1831410638 | Thomas Pharmacy Gardiner Center, LLC | Pharmacy | 2341 Hwy 15 North, Laurel, MS 39441-4111 | 2010-06-15 |
| 1396874178 | Wallace Drug Company Inc | Pharmacy | 520 N Magnolia St, Laurel, MS 39440-3559 | 2007-03-05 |
| 1841384245 | Snyders Western | Pharmacy | 209 S 1st Ave, Laurel, MT 59044-3305 | 2006-10-03 |
| 1134212574 | Read Discount Drug | Pharmacy | 1592 Highway 15 N Ste D, Ste D, Laurel, MS 39440-2122 | 2006-09-30 |
| 1053410431 | Medaccess Pharmacy Svc LLC | Pharmacy | 7350 Van Dusen Rd Ste 120, Laurel, MD 20707-5267 | 2006-09-21 |
| 1407951601 | Wells Discount Drugs Inc | Pharmacy | 725 Samill Rd, Laurel, MS 39440-3971 | 2006-09-13 |
| 1912932955 | Weis Markets Inc | Pharmacy | 9250 Baltimore-washington Blvd, Laurel, MD 20723 | 2006-07-11 |
| Find all providers in LAUREL | ||||
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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.