MARYLAND CVS PHARMACY L L C (NPI# 1629508478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629508478 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY L L C |
| Other Organization Name | CVS PHARMACY # 10528 |
| Practice Address |
7650 Port Capital Drive Jessup MD 20794 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR-PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| 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 |
|---|---|---|---|
| MD | 5911980226 | 05 | |
| MD | NCPDP | 2141024 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10528 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225559370 | Maryland Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 20 Upper Rock Circle, Rockville, MD 20850-4098 | 2017-06-29 |
| 1306374368 | Maryland Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 8319 Baltimore Ave, College Park, MD 20740-2435 | 2017-06-02 |
| 1851494678 | Maryland Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1000 S Charles St, Baltimore, MD 21230-4046 | 2006-09-07 |
| 1033212857 | Maryland Cvs Pharmacy L L C | Pharmacy | 3915 Hollins Ferry Rd, Baltimore, MD 21227-3416 | 2006-09-07 |
| 1922101682 | Maryland Cvs Pharmacy L L C | Department of Veterans Affairs (VA) Pharmacy | 1013 Woodbridge Ctr Way, Edgewood, MD 21040 | 2006-09-07 |
| Street Address |
7650 PORT CAPITAL DRIVE |
| City | JESSUP |
| State | MD |
| Zip Code | 20794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801399373 | Marnette Valcin | Nurse Practitioner | 7800 House of Corrections Rd, Jessup, MD 20794 | 2018-03-12 |
| 1326446980 | Matthew Carpenter | Physician Assistant | 7805 House of Correction Rd., Jessup, MD 20794 | 2014-12-15 |
| 1053753616 | Bollman Bridge Elementary School-based Wellness Center | Clinic/Center | 8200 Savage-guilford Road, Jessup, MD 20794 | 2013-07-24 |
| 1962760199 | Mesfin T Frew | Physician Assistant | 755 Waterloo Road, Jessup, MD 20794 | 2012-04-25 |
| 1730462920 | Grady Foster Jr. | Dentist | 7804 Maryland House of Correction Road, Jessup, MD 20794 | 2011-09-23 |
| 1528211794 | Brian Byung Woo Choi | Dentist | 7800 House of Correction Road, Jessup, MD 20794 | 2008-10-31 |
| 1659315851 | Family Care Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8610 Baltimore Washington Blvd, Suite 110, Jessup, MD 20794 | 2006-06-16 |
| 1568941797 | Motunrayo Omoloye Adegorusi | Nurse Practitioner | 7800 House of Corrections Rd, Jessup, MD 20794 | 2018-08-08 |
| 1104346006 | Charity Allwell | Registered Nurse | 7365 Cedar Ave, Jessup, MD 20794 | 2017-06-21 |
| 1255401154 | Medical Management Specialists, Inc. | Clinic/Center | 8106 D-stayton Drive, Jessup, MD 20794-0934 | 2006-11-08 |
| Find all providers in zip 20794 | ||||
| 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 |
|---|---|---|---|---|
| 1487743035 | Family Pharmacy of Jessup Inc | Pharmacy | 128 Constitution Ave, Jessup, PA 18434-1218 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.