MARYLAND CVS PHARMACY LLC (NPI# 1477656130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477656130 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 04220 |
| Practice Address |
2311 Hanover Pike Hampstead MD 21074 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4102393750 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P00617 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2110714 | 01 | |
| MD | STATE MEDICAID DME NUMBER | 795006300 | 01 |
| MD | 746346400 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 04220 | 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 |
2311 HANOVER PIKE |
| City | HAMPSTEAD |
| State | MD |
| Zip Code | 21074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771553 | Erica Letow | Pharmacist | 2311 Hanover Pike, Hampstead, MD 21074-1150 | 2017-10-17 |
| 1881093490 | Ashley Diane Graff | Pharmacist | 2311 Hanover Pike, Hampstead, MD 21074-1150 | 2014-08-19 |
| 1376951517 | Robert Fettke | Pharmacist | 2311 Hanover Pike, Hampstead, MD 21074-1150 | 2014-07-31 |
| 1295140119 | April Clinedinst | Pharmacist | 2311 Hanover Pike, Hampstead, MD 21074-1150 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306987565 | Thomas P Kenney | Optometrist | 1631 N Main Street, Hampstead, MD 21074 | 2007-02-09 |
| 1649348798 | Resh Family Dentistry | Dentist | Box 198, 1306 N Main St, Hampstead, MD 21074 | 2006-11-30 |
| 1649344409 | Sarah Jennifer Frattali | Internal Medicine | 4231 Northwood Drive, Hampstead, MD 21074 | 2006-11-20 |
| 1538233390 | Barbara Ann Ball | Family Medicine | 4231 North Woods Trail, Hampstead, MD 21074 | 2006-11-20 |
| 1639257066 | Eugene Duston Mersinger | Dentist | 695 Hanover Road, Hampstead, MD 21074 | 2006-11-02 |
| 1720162100 | Jon Michael Breakey | Physical Therapist | 1801 Hanover Pike, Hampstead, MD 21074 | 2006-10-24 |
| 1942395322 | Kimberly Louise Locati-boucher | Occupational Therapist | 1208 Woodland Court, Hampstead, MD 21074 | 2006-10-03 |
| 1760490023 | Domingo A Rocha | Family Medicine | 4231 Northwoods Trail, Hampstead, MD 21074 | 2006-08-03 |
| 1255364584 | Weis Markets Inc | Pharmacy | 720 Hanover Pike, Hampstead, MD 21074 | 2006-07-09 |
| 1417911942 | Josue Chavez Laredo | General Practice | 4041 Gill Ave, Hampstead, MD 21074 | 2006-04-13 |
| Find all providers in zip 21074 | ||||
| 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 |
|---|---|---|---|---|
| 1598101826 | Johnson Drug Hampstead Inc. | Pharmacy | 17230 Us Hwy 17n, Suite 222, Hampstead, NC 28443 | 2013-05-14 |
| 1912912510 | Hampstead Medical Cntr PC | Pharmacy | 14980 Us Highway 17 N, Hampstead, NC 28443-3390 | 2006-07-30 |
| 1255364584 | Weis Markets Inc | Pharmacy | 720 Hanover Pike, Hampstead, MD 21074 | 2006-07-09 |
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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.