Maryland CVS Pharmacy, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

License

P02040 Issued in MD

Legal business name

MARYLAND CVS PHARMACY, L.L.C.

Doing business as

CVS Pharmacy # 02016

Practice address

5910 Greenbelt Rd
Greenbelt, MD 20770-1010

Phone

(301) 441-8810

NPI assigned

Sep 12, 2006

Last updated

Nov 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY # 02016 Doing business as

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Member of 1

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

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Locations

Practitioners 7

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.

• Barah Alzalam, PHARM D

  • Pharmacist
  • Greenbelt, MD
  • NPI 1871355560
  NPD (past)
• Jana Brady, PHARMD,RPH

  • Pharmacist
  • Greenbelt, MD
  • NPI 1437667219
  NPD (past)
• Trang Dang

  • Pharmacist
  • Greenbelt, MD
  • NPI 1679381974
  NPD (past)
• Angela Morrow, PHARMD

  • Pharmacist
  • Greenbelt, MD
  • NPI 1003215161
  NPD (past)
• Elizabeth Nkengasong

  • Pharmacist
  • Greenbelt, MD
  • NPI 1114497245
  NPD (past)
• Jeet Patel, PHARM. D

  • Pharmacist
  • Greenbelt, MD
  • NPI 1558811133
  NPD (past)
• Lateef Raji

  • Pharmacist
  • Greenbelt, MD
  • NPI 1063827764
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1861596710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500",
            "fax_number": "401-770-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 GREENBELT RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701010",
            "telephone_number": "301-441-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P02040",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2121591",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3366057 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY # 02016",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodrigo Martinez, M.D.
• Maryland Cardiac & Medical Associates, PC.
• Maryland Cardiology Associates, LLC
• Maryland CVS Pharmacy LLC (CVS Pharmacy #16639)
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 00452)
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.
• Maryland Health Alliance, Inc.

• Pharmacy in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.