MARYLAND CVS PHARMACY, L.L.C.


Address: 4200 Altamont Place, White Plains, MD 20695
Phone: 3016452774

MARYLAND CVS PHARMACY, L.L.C. (NPI# 1710084207) 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) 1710084207
Entity Type Organization
Organization Name MARYLAND CVS PHARMACY, L.L.C.
Other Organization Name CVS PHARMACY #01796
Practice Address 4200 Altamont Place
White Plains
MD 20695
Mailing Address 1 Cvs Dr
Po Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 3016452774
Mailing Telephone 4017651500
Mailing Fax Number 4017707108
Enumeration Date 2006-09-19
Last Update Date 2010-11-23
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 P01583 MD Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MD 3621120 00 05
OTHER ID NUMBER-COMMERCIAL NUMBER 2117061 01
MD MEDICARE RR P00754558 01
MEDICARE RR P00754558 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #01796 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4200 ALTAMONT PLACE
City WHITE PLAINS
State MD
Zip Code 20695

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023590452 Dominique Bouldin Driver 11136 Saint Christopher Drive, White Plains, MD 20695 2018-09-01
1366928665 Wooten Lyons LLC Psychiatry & Neurology 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 2018-07-19
1962914507 Kids By The Bay Dental LLC Clinic/Center 5010 Regency Place Ste 102, White Plains, MD 20695 2017-11-03
1528592896 Darlena Austin Social Worker 5310 Exeter Place, White Plains, MD 20695 2017-04-13
1609307040 Phylicia Wooten Counselor 5510 Regency Place Suite 203, White Plains, MD 20695 2017-03-27
1760856488 Stephanie W Allen Physical Therapist Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 2015-11-18
1457743122 Raven Gray Physical Therapy Assistant 10708 Esprit Place, White Plains, MD 20695 2015-03-04
1043629850 Adenike Kupolati Pharmacist 4220 Altamont Place, White Plains, MD 20695 2014-08-06
1942532064 Divine Intervention Community Support Services Community/Behavioral Health 7727 Chesterfied Ct., White Plains, MD 20695 2010-02-01
1740517895 Optionet Support Service Community/Behavioral Health 7727 Chesterfield Court, White Plains, MD 20695 2009-11-11
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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
1215457387 My Express Care Specialty Pharmacy Pharmacy 4459 Crain Hwy, White Plains, MD 20695-3046 2017-06-21
1316095318 Jmr Pharmacy Inc Pharmacy 1215 Mamaroneck Ave, White Plains, NY 10605-4807 2007-01-08
1760414627 Stop and Shop Supermarket Co LLC Pharmacy 154 Westchester Ave, White Plains, NY 10601 2006-07-07
1346226891 Midrag Nine Pharmacy Inc Pharmacy 417 Tarrytown Road, White Plains, NY 10607 2005-12-16
1972051100 Allcare Health Pharmacy LLC Pharmacy 276 Main St, White Plains, NY 10601-2443 2016-09-16
1619059409 Mirra Pharmacy Corp Pharmacy 170 Maple Ave, White Plains, NY 10601-4710 2006-10-20
1467559385 Jeluca Pharmacy Corp Pharmacy 811 N Broadway, White Plains, NY 10603-2400 2006-09-20
1912938069 K Mart Corp Pharmacy 399 Tarrytown Rd, White Plains, NY 10607-1313 2006-07-06

Providers in the same taxonomy and state

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
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Competitor

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City WHITE PLAINS
Zip Code 20695

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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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