MARYLAND CVS PHARMACY LLC


Address: 300 Ballenger Center Dr, Frederick, MD 21703-7096
Phone: 3016827213

MARYLAND CVS PHARMACY LLC (NPI# 1679676498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679676498
Entity Type Organization
Organization Name MARYLAND CVS PHARMACY LLC
Other Organization Name CVS PHARMACY 04650
Practice Address 300 Ballenger Center Dr
Frederick
MD 21703-7096
Mailing Address 1 Cvs Dr
Po Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 3016827213
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

Taxonomy

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 P02059 MD Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 2121832 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY 04650 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 300 BALLENGER CENTER DR
City FREDERICK
State MD
Zip Code 21703-7096

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801269758 Sherene Nicketa Lindsay Nurse Practitioner 300 Ballenger Center Dr, Frederick, MD 21703-7096 2015-11-01
1245625235 Coram Healthcare Corporation of Greater Dc Clinic/Center 300 Ballenger Center Dr, Frederick, MD 21703-7096 2015-04-06
1902206188 Jigna Patel Pharmacist 300 Ballenger Center Dr, Frederick, MD 21703-7096 2014-08-26
1528470994 Tami Mckinney Physician Assistant 300 Ballenger Center Dr, Frederick, MD 21703-7096 2014-05-20
1841613767 Anne Winnie Shagavah Nurse Practitioner 300 Ballenger Center Dr, Frederick, MD 21703-7096 2014-01-29
1285062612 Mariangela Maravalhas Martinelli Nurse Practitioner 300 Ballenger Center Dr, Frederick, MD 21703-7096 2013-10-22
1023368271 Pamela Campbell Nurse Practitioner 300 Ballenger Center Dr, Frederick, MD 21703-7096 2012-09-14
1154483493 Rebecca Araiza Wells Nurse Practitioner 300 Ballenger Center Dr, Frederick, MD 21703-7096 2006-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861902959 Kenny Chen Optometrist 5283 Corporate Dr Ste 201, Frederick, MD 21703 2017-10-03
1578934550 Barbara Tarlowski Physical Therapy Assistant 347 Ballenger Center Drive, Frederick, MD 21703 2015-10-15
1679958813 Taiji Acupuncture Clinic Community Based Residential Treatment Facility, Mental Illness 1411 Bluewing Ct, Frederick, MD 21703 2015-07-29
1609283050 Green Ridge Behavioral Health, LLC Psychiatry & Neurology 5216 Chairmans Court, Suite 102, Frederick, MD 21703 2014-07-17
1841597705 Jennifer Anne Dye Speech-Language Pathologist 5312 Ballenger Creek Pike, Frederick, MD 21703 2011-02-11
1568794790 Andersons Community Healthcare Services Inc Nursing Care 4727 Verdana Loop, Frederick, MD 21703 2010-02-15
1962672782 Service Coordination Inc Case Management 5303 Spectrum Drive, Suite I, Frederick, MD 21703 2008-03-07
1396877189 Health and Happiness LLC Psychologist 93 S Mccain Drive, Frederick, MD 21703 2007-03-09
1275629776 Mary Bernadette Sheehy Nurse Practitioner Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 2006-10-04
1720185218 Rea and Derick Inc P 1835 Pharmacy 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 2006-09-19
Find all providers in zip 21703

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306488853 Urbana Pharmacy Pharmacy 3420 Worthington Blvd Ste B, Frederick, MD 21704-7020 2019-10-16
1942741392 Dnk Health LLC Pharmacy 1080 W Patrick St, Unit #10, Frederick, MD 21703-3972 2017-03-18
1073946349 Your Asthma Care Pharmacy, Inc. Pharmacy 5112 Pegasus Ct, Suite X-b, Frederick, MD 21704-8303 2013-08-09
1578854139 Wegmans Food Markets Inc Pharmacy 7830 Wormans Mill Rd, Frederick, MD 21701-3034 2011-04-29
1306956925 Costco Wholesale Corporation Pharmacy 10 Monocacy Blvd, Frederick, MD 21704 2006-08-30
1407867641 Giant Eagle Inc Pharmacy 1305 W 7th St, Frederick, MD 21702-4102 2006-08-11
1083629992 Giant Eagle Inc Pharmacy 1275 W Patrick St, Frederick, MD 21702-4886 2006-07-29
1003841040 Weis Markets Inc Pharmacy 6093 Spring Ridge Pkwy, Frederick, MD 21701-5898 2006-07-11
1336173210 Weis Markets Inc Pharmacy 2 Old Camp Rd, Frederick, MD 21702-3740 2006-07-10
1528091857 Weis Markets Inc Pharmacy 448 Prospect Blvd, Frederick, MD 21701-6400 2006-07-09
Find all providers in FREDERICK

Competitor

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City FREDERICK
Zip Code 21703

Improve Information

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Dataset Information

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.

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