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MARYLAND CVS PHARMACY LLC NPI 1831292598


NPI Information

NPI: 1831292598
Provider Name: MARYLAND CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #04225

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 21D2283767

Address:
975 BAY RIDGE RD
ANNAPOLIS, MD
ZIP 21403
Phone: (410) 268-7688
Get Directions

MARYLAND CVS PHARMACY LLC is a pharmacy in Annapolis, MD. The provider is 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. MARYLAND CVS PHARMACY LLC NPI is 1831292598. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #04225.

The provider's business location address is:

975 BAY RIDGE RD
ANNAPOLIS, MD
ZIP 21403-934
Phone: (410) 268-7688

The provider's authorized official is Susan F Colbert .
The authorized official title is Director Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 21D2283767 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 2/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyP05456MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12103846OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
25911980170MEDICARE NSC
3161982MEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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