| NPI | 1104920024 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-12 |
| Last Updated | 2010-11-12 |
| Authorized Official | Susan Colbert Director, Payer Relations Phone: 4017702751 |
| Mailing Address | 1 Cvs Dr, Po Box 1075 Woonsocket, RI 02895-6146 United States Phone: (401) 765-1500 | Fax: (401) 770-7108 📍 View Map |
| Primary Practice Address | 5707 Riverdale Rd Riverdale, MD 20737-2139 United States Phone: (301) 277-4838 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2100751 | Other ID Number-Commercial Number |
| MEDICAID | MD | 4201701 00 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 333600000X – Pharmacy | MD | P00516 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104920024
Maryland Cvs Pharmacy, L.l.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104920024. The primary specialty listed is Pharmacy. The organization is located in Riverdale, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104920024?
NPI 1104920024 belongs to Maryland Cvs Pharmacy, L.l.c., a Pharmacy in Riverdale, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104920024 active?
The current status of NPI 1104920024 in the NPPES registry is Active. The record was last updated on 2010-11-12.
What specialty is NPI 1104920024?
NPI 1104920024 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104920024?
You can verify NPI 1104920024 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104920024?
The primary practice address on file for NPI 1104920024 is 5707 Riverdale Rd, Riverdale, MD 20737-2139. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104920024 issued?
NPI 1104920024 was first issued (enumerated) on 2006-09-12. The NPPES record was last updated on 2010-11-12.
Practice Location Map
Maryland Cvs Pharmacy, L.l.c. is located at 5707 Riverdale Rd, Riverdale, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Maryland Cvs Pharmacy, L.l.c.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104920024. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | P00516 | MD |