MARYLAND CVS PHARMACY LLC (NPI# 1861595381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861595381 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 04017 |
| Practice Address |
28 Magothy Beach Rd Pasadena MD 21122-4428 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4104376450 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-11-25 |
| 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 | P01023 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2112376 | 01 | |
| MEDICARE RR | P00754543 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 04017 | 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 |
28 MAGOTHY BEACH RD |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021515 | Eunice Jehae Won | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2020-10-17 |
| 1861040719 | Lawson Tyler Stevens | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2019-09-03 |
| 1134613417 | Veronda Janelle Mciver | Nurse Practitioner | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2018-06-19 |
| 1750808614 | Lauren Biagiotti | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2017-08-23 |
| 1194240952 | Christopher Mark Stanton | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2017-08-13 |
| 1598212862 | Zelalem Woldemariam | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2016-09-05 |
| 1275087736 | Michael David Boblitz | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2016-08-12 |
| 1104235472 | Julie Ann Goad | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2014-08-11 |
| 1427467133 | Lara Mcandrew | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2014-08-06 |
| 1770992810 | Tri Nguyen | Pharmacist | 28 Magothy Beach Rd, Pasadena, MD 21122-4428 | 2014-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| 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 |
|---|---|---|---|---|
| 1891244430 | Precisionmeds Services Inc. | Pharmacy | 638 E Colorado Blvd, Suite 202, Pasadena, CA 91101-2006 | 2016-09-23 |
| 1174079701 | Cvs | Pharmacy | 3883 E. Foothill Blvd, Pasadena, CA 91107 | 2016-09-01 |
| 1447653787 | Community Health Alliance of Pasadena | Pharmacy | 1855 N Fair Oaks Ave Ste 100, Pasadena, CA 91103-1620 | 2014-10-01 |
| 1104166552 | Riviera Drugs LLC | Pharmacy | 8541 Fort Smallwood Rd, Unit G, Pasadena, MD 21122-2676 | 2013-02-21 |
| 1679863575 | Burke Family Pharmacy Inc | Pharmacy | 722 Fairmont Pkwy, Pasadena, TX 77504-2804 | 2011-04-12 |
| 1023328374 | O&w Interests LLC | Pharmacy | 3954 Spencer Hwy, Pasadena, TX 77504-1206 | 2010-10-19 |
| 1386717817 | Kroger Texas L P | Pharmacy | 3550 Spencer Hwy, Pasadena, TX 77504-1110 | 2006-11-15 |
| 1285707711 | Kroger Texas L P | Pharmacy | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2006-11-15 |
| 1336230010 | Diran B.bahadourian | Pharmacy | 1864 E Washington Blvd, Suite #105, Pasadena, CA 91104-1647 | 2006-09-27 |
| 1831299874 | 986 Specialty Pharmacy Pasadena Inc | Pharmacy | 1719 E. Walnut St., Pasadena, CA 91106-1611 | 2006-09-22 |
| Find all providers in PASADENA | ||||
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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.