Organization · Type 2 NPI

Maryland CVS Pharmacy LLC

Pharmacy · Jessup, MD

NPI number 1629508478 Active

Practice location

7650 Port Capital Drive
Jessup, MD 20794

Call (401) 765-1500 Map

Mailing address

1 Cvs Dr
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

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 lo…

NPI record

NPI: 1629508478
Entity type: Organization (Type 2)
Issued: Jun 14, 2017
Last updated: Sep 26, 2023
Status: Active

Other names

<unavail>
CVS Pharmacy #10528 · doing business as
CVS Pharmacy #10528 · doing business as

Authorized official

Susan Colbert
SR Director-Payer Relations
(401) 765-1500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1629508478

Maryland CVS Pharmacy LLC's National Provider Identifier is 1629508478, issued on Jun 14, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jessup, MD. The record was last updated on Sep 26, 2023.