MARYLAND CVS PHARMACY LLC (NPI# 1861595688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861595688 |
| Entity Type | Organization |
| Organization Name | MARYLAND CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 04602 |
| Practice Address |
900 Edmondson Ave Baltimore MD 21228-4407 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4107196688 |
| 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 |
| 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 | P01880 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2120258 | 01 | |
| MEDICARE RR | P00754543 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 04602 | Doing Business As Name - Organization |
| 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 |
| Street Address |
900 EDMONDSON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588035463 | Julie Haynes | Pharmacist | 900 Edmondson Ave, Baltimore, MD 21228-4407 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| 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 |
|---|---|---|---|---|
| 1265049647 | West North Pharmacy, Inc | Pharmacy | 3044 W North Ave Ste A&b, Baltimore, MD 21216-3180 | 2020-09-29 |
| 1770103707 | Molly Wascher | Pharmacy | 5901 Holabird Ave Ste A2, Baltimore, MD 21224-6015 | 2020-04-20 |
| 1609417989 | The Johns Hopkins Hospital | Pharmacy | 5300 Holabird Ave Ste A-1, Baltimore, MD 21224-6010 | 2019-10-08 |
| 1023581279 | Morrell Park Pharmacy LLC | Pharmacy | 2519 Washington Blvd, Baltimore, MD 21230-1406 | 2019-01-09 |
| 1427558527 | Frontier Health Services LLC | Pharmacy | 1251 W Pratt St Ste D, Baltimore, MD 21223-2665 | 2018-02-15 |
| 1851806889 | Aids Healthcare Foundation | Pharmacy | 11 E Lexington St Ste 100, Baltimore, MD 21202-1732 | 2017-12-13 |
| 1801312038 | Comfortial Health System | Pharmacy | 3404 Eastern Ave, Baltimore, MD 21224-4121 | 2017-08-18 |
| 1356874820 | Liberty Pharmacy LLC | Pharmacy | 108 N Eutaw St, Baltimore, MD 21201-2154 | 2017-04-11 |
| 1124561998 | Vdn Pharmacy LLC | Pharmacy | 6821 Reisterstown Rd Ste 207, Baltimore, MD 21215-1482 | 2016-11-29 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| Find all providers in BALTIMORE | ||||
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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.