NPIMap

Organization Active NPI

CVS Caremark

  • Community/Retail Pharmacy
  • Gaithersburg, MD
National Provider Identifier
1457727968
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23035 Issued in MD
Legal business name
CVS CAREMARK
Practice address
19100 Montgomery Village Ave
Gaithersburg, MD 20886-3701
Phone
(301) 948-6886
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Evan Gombos, PHARMD
Title
Pharmacist
Phone
(301) 968-6886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 23035 MD Primary

Addresses

Primary practice location

19100 Montgomery Village Ave
Gaithersburg, MD 20886-3701

Mailing address

19100 Montgomery Village Ave
Gaithersburg, MD 20886-3701

National Provider Directory

National Provider Directory
Tax ID family
CVS Caremark Corporation63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

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

Locations

19100 Montgomery Village Ave
Montgomery Village, MD 20886
Phone (301) 948-6886

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1457727968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 MONTGOMERY VILLAGE AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 MONTGOMERY VILLAGE AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863701",
            "telephone_number": "301-948-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS CAREMARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "GOMBOS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "301-968-6886",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "23035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.