MARYLAND CVS PHARAMCY LLC (NPI# 1346741642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346741642 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARAMCY LLC |
| Other Organization Name | CVS PHARMACY # 10648 |
| Practice Address |
6383 Ten Oaks Road Clarksville MD 21029-1104 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | SUSAN F COLBERT (SR. DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| 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 |
|---|---|---|---|
| NCPDP | 2142329 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 10648 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407950348 | Maryland Cvs Pharamcy LLC | Pharmacy | 110 Walkers Village Way, Walkersville, MD 21793-8147 | 2006-09-12 |
| Street Address |
6383 TEN OAKS ROAD |
| City | CLARKSVILLE |
| State | MD |
| Zip Code | 21029-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1740647262 | Darren Joseph | Physical Therapist | 6151 Daylong Lane, Clarksville, MD 21029 | 2016-01-28 |
| 1619302437 | Ashley Kneale | Physical Therapist | 6408 Silent Moon Run, Clarksville, MD 21029 | 2013-09-11 |
| 1780949693 | Jane Choi Council | Optometrist | 12345 Wake Forest Rd Ste E, Clarksville, MD 21029 | 2012-07-06 |
| 1598035248 | Jeffrey Stuart Abrams | Internal Medicine | 5073ten Oaks Rd, Clarksville, MD 21029 | 2012-01-11 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1285892430 | Mary Carol Wayda | Social Worker | 5905 Tall Branches Pass, Clarksville, MD 21029 | 2008-05-23 |
| 1407978422 | Basil Saiedy Dds LLC | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| 1629329214 | Dina Michele Singer | Acupuncturist | 12451 Clarksville Pike, Clarksville, MD 21029 | 2012-09-24 |
| 1689796609 | Basil Saiedy | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| Find all providers in zip 21029 | ||||
| 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 |
|---|---|---|---|---|
| 1295274306 | Pharmacy Solutions LLC | Pharmacy | 1849 Madison St Ste D, Clarksville, TN 37043-4903 | 2017-02-22 |
| 1881140127 | Dunlop Pharmacy LLC | Pharmacy | 620 Dunlop Ln Ste # 111, Clarksville, TN 37040-5000 | 2016-08-28 |
| 1295162816 | Anesthesia Services Associates, Pllc | Pharmacy | 495 Dunlop Ln Ste 106, Clarksville, TN 37040-5296 | 2013-09-27 |
| 1487796272 | Warren's Apothecary, Inc. | Pharmacy | 1746 Memorial Dr, Clarksville, TN 37043-4561 | 2007-02-12 |
| 1689712366 | Rx Professionals Inc | Pharmacy | 1756 Highway 48, Clarksville, TN 37040-9204 | 2007-02-02 |
| 1558386276 | Kroger Limited Partnership I | Pharmacy | 2100 Lowes Dr, Clarksville, TN 37040-6688 | 2006-07-13 |
| 1609800341 | Kroger Limited Partnership I | Pharmacy | 110 Dover Crossing Rd, Clarksville, TN 37042-4165 | 2006-07-10 |
| 1952335762 | Kroger Limited Partnership I | Pharmacy | 305 E Lewis and Clark Pkwy, Clarksville, IN 47129-1758 | 2006-07-10 |
| 1134150139 | K Mart Corp | Pharmacy | 2300 Madison St, Clarksville, TN 37043-5453 | 2006-07-06 |
| 1609807668 | K Mart Corp | Pharmacy | 1416 Blackiston Mill Rd, Clarksville, IN 47129-2204 | 2006-07-06 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 21029 |
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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.