NPIMap

Organization Active NPI

CVS

  • Pharmacist
  • Upper Marlboro, MD
National Provider Identifier
1659787950
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16749 Issued in MD
Legal business name
CVS
Practice address
5100 Brown Station Rd
Upper Marlboro, MD 20772-9132
Phone
(301) 627-1500
NPI assigned
Jul 8, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Ejobe Omo-TaigaNPI 1619426855
Title
Pharmacist
Phone
(301) 627-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16749 MD Primary

Addresses

Primary practice location

5100 Brown Station Rd
Upper Marlboro, MD 20772-9132

Mailing address

5100 Brown Station Rd
Upper Marlboro, MD 20772-9132

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1659787950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BROWN STATION RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BROWN STATION RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729132",
            "telephone_number": "301-627-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "OMO-TAIGA",
        "authorized_official_first_name": "EJOBE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "301-627-1500"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.