MARYLAND CVS PHARMACY, L.L.C. (NPI# 1679680763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679680763 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #11063 |
| Practice Address |
723 N Bridge St Elkton MD 21921-5309 |
| Mailing Address |
1 Cvs Dr # 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4103922961 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07670 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DEA | AT1701172 | 01 |
| MD | 031352100 | 05 | |
| MH | NCPDP | 2101501 | 01 |
| MD | MD CORP | 01636792 | 01 |
| MD | FEIN | 52-0746210 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #11063 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761851 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 10201 Reisterstown Rd, Owings Mills, MD 21117-3634 | 2018-02-22 |
| 1255887865 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 157 Ritchie Highway, Severna Park, MD 21146-1130 | 2016-09-01 |
| 1700236783 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3200 St. Paul St., Baltimore, MD 21218 | 2016-06-21 |
| 1689022386 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 934 N. Charles St., Baltimore, MD 21201-5310 | 2016-06-03 |
| 1730415795 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1008 Pulaski Hwy, Havre De Grace, MD 21078 | 2009-10-27 |
| 1386819316 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 630 Exeter St, Baltimore, MD 21202 | 2008-04-30 |
| 1619178282 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1519 Rock Spring Road, Forest Hill, MD 21050 | 2007-05-30 |
| 1831258177 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2006-12-06 |
| 1407915556 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 7035 Indian Head Hwy, Bryans Road, MD 20616-3234 | 2006-12-06 |
| 1003988783 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 7400 Ritchie Hwy, Glen Burnie, MD 21061-3110 | 2006-11-15 |
| Street Address |
723 N BRIDGE ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295747533 | Elizabeth Kostin Weaver | Pharmacist | 723 N Bridge St, Elkton, MD 21921-5309 | 2006-08-13 |
| 1922609262 | Sarah Elaine Linn | Pharmacist | 723 N Bridge St, Elkton, MD 21921-5309 | 2020-11-03 |
| 1891031639 | Christine Wanjiru Njoora | Pharmacist | 723 N Bridge St, Elkton, MD 21921-5309 | 2012-12-26 |
| 1417240672 | Richard Fasano Jr. | Pharmacist | 723 N Bridge St, Elkton, MD 21921-5309 | 2011-05-20 |
| 1558571133 | Larry B Slamovitz | Pharmacist | 723 N Bridge St, Elkton, MD 21921-5309 | 2007-05-23 |
| 1326150525 | Henry N Bruno Jr. | Pharmacist | 723 N Bridge St, Elkton, MD 21921-5309 | 2006-08-31 |
| 1366455255 | David Howard Ayres | Pharmacist | 723 N Bridge St, Elkton, MD 21921-5309 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073067278 | Kmart Pharmacy | Pharmacy | 161 Big Elk Mall, Elkton, MD 21921-5912 | 2016-08-05 |
| 1063788230 | Welcare Pharmacy LLC | Pharmacy | 300 E Pulaski Hwy Ste 103, Elkton, MD 21921-6737 | 2012-04-01 |
| 1427074061 | Walgreen Co | Pharmacy | 301 E Pulaski Hwy, Elkton, MD 21921-6415 | 2006-07-15 |
| 1063772192 | Medical Enterprises Inc | Pharmacy | 4970 Railroad St, Elkton, MI 48731-5155 | 2012-05-23 |
| 1215034061 | Marybeth Sniadowski Cole | Pharmacy | 107 E Main St, Elkton, MD 21921-5906 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174536 | Daily Care Pharmacy | Pharmacy | 167 Jennifer Rd Ste D, Annapolis, MD 21401-7910 | 2020-11-05 |
| 1053925693 | Universal Products and Services, LLC. | Pharmacy | 1810 Crain Hwy S Unit B, Glen Burnie, MD 21061-5505 | 2020-09-01 |
| 1235751470 | Complete Wellness Pharmacy LLC | Pharmacy | 5732 Buckeystown Pike Ste 24, Frederick, MD 21704-5180 | 2020-05-11 |
| 1336774363 | Padonia Village Pharmacy | Pharmacy | 17 E Padonia Rd, Lutherville Timonium, MD 21093-2306 | 2020-03-10 |
| 1881234904 | The Pharmacia | Pharmacy | 1809 Reisterstown Rd Ste 115, Pikesville, MD 21208-6329 | 2020-01-07 |
| 1184266355 | Kent Island Pharmacy, LLC | Pharmacy | 382 Thompson Creek Mall, Stevensville, MD 21666-2593 | 2019-10-09 |
| 1730720624 | Tidewater Drug and Health Care | Pharmacy | 30170 Three Notch Rd Unit B, Charlotte Hall, MD 20622-4119 | 2019-10-02 |
| 1598312654 | Alsbiz Group Inc. | Pharmacy | 602 Cherry Hill Rd, Baltimore, MD 21225-1229 | 2019-08-23 |
| 1356997407 | Well-rx LLC | Pharmacy | 10151 York Rd Ste 105-106, Cockeysville, MD 21030-3314 | 2019-08-14 |
| 1184277279 | The Pharmacy At, Inc | Pharmacy | 524 E Belvedere Ave Ste A, Baltimore, MD 21212-3701 | 2019-07-18 |
| 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.