REVCO DISCOUNT DRUG CENTERS INC (NPI# 1659474310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659474310 |
| Entity Type | Organization |
| Organization Name | REVCO DISCOUNT DRUG CENTERS INC |
| Other Organization Name | CVS PHARMACY |
| Practice Address |
626 Sunburst Hwy Cambridge MD 21613 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4102289030 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P00621 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2109975 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Revco Discount Drug Centers Inc. | One Cvs Drive, Woonsocket, Rhode Island 02895 |
| Street Address |
626 SUNBURST HWY |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| 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 |
|---|---|---|---|---|
| 1063870020 | Civic Health Services 3 LLC | Pharmacy | 909 Washington St, Cambridge, MD 21613-2627 | 2016-02-05 |
| 1154716165 | Safe Chain Solutions, LLC | Pharmacy | 822 Chesapeake Dr, Cambridge, MD 21613-9408 | 2015-04-06 |
| 1376693614 | Blumon Corporation | Pharmacy | 109 W Main St # 69, Cambridge, WI 53523-9141 | 2007-01-11 |
| 1952418139 | Kph Healthcare Services, Inc. | Pharmacy | 155 S Main Street, Cambridge, VT 05444 | 2006-08-24 |
| 1467462804 | Skenderian Apothecary | Pharmacy | 1613 Cambridge St, Cambridge, MA 02138-4315 | 2006-08-08 |
| 1447280136 | Poniday LLC | Pharmacy | 624 Patterson St, Cambridge, NE 69022 | 2006-07-05 |
| 1821090804 | Craig's Drug Store, Inc. | Pharmacy | 409 Race St, Cambridge, MD 21613-1835 | 2005-08-10 |
| 1528187259 | Mass Institute of Technology | Pharmacy | 77 Massachusetts Ave, Pharmacy E23-197, Cambridge, MA 02139-4301 | 2007-03-27 |
| 1104842053 | Pharmacy Corporation of America | Pharmacy | 3 Washington St, Cambridge, MD 21613-2801 | 2006-07-14 |
| 1851322812 | K Mart Corp | Pharmacy | 61690 Southgate Rd, Cambridge, OH 43725-9114 | 2006-07-06 |
| Find all providers in CAMBRIDGE | ||||
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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.