NPIMap

Organization Active NPI

CVS Health

  • Community/Retail Pharmacy
  • Brentwood, MD
National Provider Identifier
1437514072
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23666 Issued in MD
Legal business name
CVS HEALTH
Practice address
3611 Bladensburg Rd
Brentwood, MD 20722-1809
Phone
(301) 227-6667
Fax
(301) 277-1897
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Alan Theriault
Title
Pharmacist
Phone
(301) 541-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 23666 MD Primary

Addresses

Primary practice location

3611 Bladensburg Rd
Brentwood, MD 20722-1809

Mailing address

3611 Bladensburg Rd
Brentwood, MD 20722-1809
Phone (301) 227-6667

Other identifiers 1

IdentifierTypeStateIssuer
332507500MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Maryland CVS Pharmacy LLC192 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1437514072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BLADENSBURG RD",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221809",
            "telephone_number": "301-227-6667",
            "fax_number": "301-277-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BLADENSBURG RD",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221809",
            "telephone_number": "301-227-6667",
            "fax_number": "301-277-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "THERIAULT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "301-541-2700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "23666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332507500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.