CVS Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22466 Issued in MD

Legal business name

CVS PHARMACY

Practice address

9420 Lanham Severn Rd
Lanham, MD 20706-2642

Phone

(301) 577-5555

NPI assigned

Jun 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan Theriault

Title

Pharmacy Supervisor

Phone

(202) 731-5413

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1235519182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 LANHAM SEVERN RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062642",
            "telephone_number": "301-577-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 LANHAM SEVERN RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062642",
            "telephone_number": "301-577-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "THERIAULT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PHARMACY  SUPERVISOR",
        "authorized_official_telephone_number": "202-731-5413"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "22466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Lanham, MD
• Providers in Lanham, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.