Organization Active NPI

CVS Pharmacy

  • Community/Retail Pharmacy
  • Frederick, MD
National Provider Identifier
1811396104
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CVS PHARMACY
Practice address
1460B W Patrick St
Frederick, MD 21702-3750
Phone
(301) 662-9522
NPI assigned
Aug 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Bobby PandiarajanNPI 1215337308
Title
Pharmacist
Phone
(301) 662-9522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1460B W Patrick St
Frederick, MD 21702-3750

Mailing address

4851 Marsden PL
Frederick, MD 21703-6822
Phone (240) 566-2703

National Provider Directory

National Provider Directory

Locations

1460 W Patrick St
Unit B
Frederick, MD 21702
Phone (301) 662-9522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1811396104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 MARSDEN PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036822",
            "telephone_number": "240-566-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460B W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023750",
            "telephone_number": "301-662-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "PANDIARAJAN",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "301-662-9522"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.