MARYLAND CVS PHARMACY, L.L.C. (NPI# 1831293760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831293760 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #01435 |
| Practice Address |
1503 Potomac Ave Hagerstown MD 21742-2930 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3017338515 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-04-21 |
| 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 | Suppliers | ||
| Y | 333600000X | Pharmacy | P00498 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE RR | P00754558 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2101056 | 01 | |
| MD | 6632157 00 - DME | 05 | |
| MD | 4201728 00 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #01435 | 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 |
| 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 |
| Street Address |
1503 POTOMAC AVE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522176 | Russel Arceo | Pharmacist | 1503 Potomac Ave, Hagerstown, MD 21742-2930 | 2020-09-14 |
| 1639540552 | Zaahira Mariam Ali | Pharmacist | 1503 Potomac Ave, Hagerstown, MD 21742-2930 | 2015-10-19 |
| 1972910560 | Thomas Shevock | Pharmacist | 1503 Potomac Ave, Hagerstown, MD 21742-2930 | 2014-07-16 |
| 1891108841 | Robert Webster Barth | Pharmacist | 1503 Potomac Ave, Hagerstown, MD 21742-2930 | 2014-06-07 |
| 1184895419 | Courtney Howard | Nurse Practitioner | 1503 Potomac Ave, Hagerstown, MD 21742-2930 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| 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 |
|---|---|---|---|---|
| 1699119917 | Hope-well Pharmacy Hagerstown LLC | Pharmacy | 11236 Robinwood Dr Ste 104, Hagerstown, MD 21742-6800 | 2013-04-18 |
| 1497035992 | Get-well Pharmacy LLC | Pharmacy | Express Pharmacy #1, 117 Ivy Hill Dr, Hagerstown, MD 21742-6704 | 2011-08-29 |
| 1346357332 | Schindels Pharmacy Inc | Pharmacy | 642 Oak Hill Ave, Hagerstown, MD 21740-3870 | 2006-08-24 |
| 1578574117 | Ranor Enterprises Inc | Pharmacy | 51 N Walnut St, Hagerstown, MD 21740-4720 | 2006-08-10 |
| 1821022773 | Giant Food Stores, LLC | Pharmacy | 1650c Wesel Blvd, Hagerstown, MD 21740 | 2006-07-10 |
| 1336172667 | Weis Markets Inc | Pharmacy | 31 Eastern Blvd N, Hagerstown, MD 21740-5812 | 2006-07-09 |
| 1649202649 | Giant Food Stores, LLC | Pharmacy | 18726 N Pointe Dr, Hagerstown, MD 21742-2418 | 2006-07-07 |
| 1962430942 | Giant Food Stores, LLC | Pharmacy | 1729 Dual Hwy, Hagerstown, MD 21740-6653 | 2006-06-29 |
| 1689122483 | Medoville Pharmacy Inc. | Pharmacy | 12821 Oak Hill Ave, Hagerstown, MD 21742-2940 | 2016-09-21 |
| 1447337530 | Hcmh Diversified Management Corporation | Pharmacy | 25 West Main St, Hagerstown, IN 47346-1214 | 2006-11-01 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on MARYLAND CVS PHARMACY, L.L.C..
| 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.