MARYLAND CVS PHARMACY L.L.C. NPI 1003914862

NPI Information

NPI: 1003914862
Provider Name: MARYLAND CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY # 01437

Classification: Pharmacy - 333600000X
Entity Type: Organization

Address:
1460B W PATRICK ST
FREDERICK, MD
ZIP 21702
Phone: (301) 662-9522
Get Directions

MARYLAND CVS PHARMACY, L.L.C. is a pharmacy in Frederick, 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, L.L.C. NPI is 1003914862. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 01437.

The provider's business location address is:

1460B W PATRICK ST
FREDERICK, MD
ZIP 21702-750
Phone: (301) 662-9522

The provider's authorized official is Susan 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 21D2284182 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/13/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			MARYLAND	No
2	333600000X	Pharmacy		P00500	MARYLAND	Yes
3	3336C0003X	Pharmacy	Community/Retail Pharmacy			No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020638500	OTHER	MARYLAND	DME
2	4201671 00	MEDICAID	MARYLAND
3	2101602	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
4	5911980014	MEDICARE NSC	MARYLAND
5	188062	MEDICARE PIN

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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