Maryland Cvs Pharmacy LLC.
Pharmacy in Mechanicsville, MD. Organization (NPI-2).
NPI number1003972373
StatusActive
Last updated in NPPESOct 16, 2019
Details
- NPI
- 1003972373
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Cvs Pharmacy LLC.
- Organization subpart
- No
- Enumeration date
- Dec 29, 2006
- Last updated
- Oct 16, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | P00789 | MD |
Other names
- Cvs Pharmacy #11398 (Doing Business As)
Practice location
28948 Three Notch RdMechanicsville, MD 20659-9998
Phone 301-290-5568 · Fax 301-884-7329
Mailing address
1 Cvs DriveBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500 · Fax 301-884-7329
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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