MARYLAND CVS PHARMACY, L.L.C. (NPI# 1831258177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831258177 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 01488 |
| Practice Address |
6260 Crain Hwy La Plata MD 20646-4258 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3019349564 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | SUSAN COLBERT (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 |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MD | Suppliers | |
| Y | 333600000X | Pharmacy | P00545 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DME | 020642300 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2101260 | 01 | |
| MD | MEDICARE RR | P00754558 | 01 |
| MD | 570048500 - RX | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 01488 | 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 |
| 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 |
| 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 |
6260 CRAIN HWY |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-4258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155713 | Jairus Laquinten Turk | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2020-08-18 |
| 1649820515 | Salma Srour | Pharmacy | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2019-09-12 |
| 1316453145 | Mira Aziz | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2017-12-15 |
| 1891211819 | Jasmine Elise Patterson | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2017-08-22 |
| 1447633409 | Uchechukwu Janet Eyisi | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2015-07-08 |
| 1619386752 | Jonathan Edward Hangey | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2014-08-02 |
| 1518371632 | Eman Y.a Mohamed | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| 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] |
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|---|---|---|---|---|
| 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 | ||||
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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.