NPIMap

Organization Active NPI

Maryland CVS Pharmacy, L.L.C.

Doing business as CVS Pharmacy #11406

  • Pharmacy
  • Gaithersburg, MD
National Provider Identifier
1669100285
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MARYLAND CVS PHARMACY, L.L.C.
Doing business as
CVS Pharmacy #11406
Practice address
311 Kentlands Blvd
Gaithersburg, MD 20878-5447
Phone
(301) 556-2163
NPI assigned
Aug 11, 2022
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Susan F Colbert
Title
Sr. Director
Phone
(401) 770-2751

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

311 Kentlands Blvd
Gaithersburg, MD 20878-5447

Mailing address

1 CVS Dr
Box 1075
Woonsocket, RI 02895
Phone (401) 770-8023

Other names 1

  • CVS Pharmacy #11406 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090928000399 DC Part B Supplier - Mass Immunization (Roster Biller Only) 7719033703
O20231114002690 MD DME Supplier - Pharmacy 7719033703 Practice locations: Gaithersburg, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Maryland CVS Pharmacy LLC.311 Kentlands Blvd, Gaithersburg, MD 20878-5447(301) 556-2163 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Ent… Does not accept assignmentParticipating since Jan 1, 2025

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 281)

1025 Middleton Rd
#16428
Aberdeen, MD 21001
Phone (410) 297-8722

403 Constant Friendship Blvd
#16991
Abingdon, MD 21009
Phone (410) 670-9001

123 Main St
Annapolis, MD 21401
Phone (410) 295-3061

1911 Towne Centre Blvd
#17345
Annapolis, MD 21401
Phone (443) 837-3541

2601 Riva Rd
#2775
Annapolis, MD 21401
Phone (410) 571-2090

503 S Cherry Grove Ave
#2779
Annapolis, MD 21401
Phone (443) 482-3981

975 Bay Ridge Rd
#4225
Annapolis, MD 21403
Phone (410) 268-7688

1500 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-3902

1500 Ritchie Hwy
#3043
Arnold, MD 21012
Phone (410) 757-3902

2 Ashton Rd
Ashton, MD 20861
Phone (301) 260-1103

2 Ashton Rd
#10321
Ashton, MD 20861
Phone (301) 260-1103

2 Compass Rd
#2455
Baltimore, MD 21220
Phone (410) 238-3521

2504 N Charles St
Baltimore, MD 21218
Phone (410) 662-7584

2504 N Charles St
#2334
Baltimore, MD 21218
Phone (401) 662-7594

2560 W Franklin St
Baltimore, MD 21223
Phone (410) 362-8203

2560 W Franklin St
#5764
Baltimore, MD 21223
Phone (410) 362-8203

3200 Saint Paul St
#10565
Baltimore, MD 21218
Phone (410) 243-1025

3201 Tioga Pkwy
#17456
Baltimore, MD 21215
Phone (410) 369-1008

3300 Belair Rd
Baltimore, MD 21213
Phone (410) 522-3842

3300 Belair Rd
#2522
Baltimore, MD 21213
Phone (410) 522-3842

3559 Boston St
#17663
Baltimore, MD 21224
Phone (410) 246-8516

400 E Pratt St
#540
Baltimore, MD 21202
Phone (410) 685-4843

4625 Falls Rd
#2066
Baltimore, MD 21209
Phone (410) 662-1670

5200 York Rd
#2034
Baltimore, MD 21212
Phone (410) 433-7711

5501 Park Heights Ave
#4411
Baltimore, MD 21215
Phone (410) 367-7802

Practitioners & affiliated clinicians

Practitioners 294

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.

View all 294

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1669100285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-770-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 KENTLANDS BLVD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785447",
            "telephone_number": "301-556-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #11406",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS Pharmacy #11406",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.