MEDICARE: BJS WHOLESALE CLUB INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	P04078	MD
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2127531	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1003855453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BJS WHOLESALE CLUB INC

Provider Business Mailing Address
First Line	:	1000 SAINT NICHOLAS DR
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-4767
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 SAINT NICHOLAS DR
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-4767
Country	:	US
Telephone Number	:	301-705-7791
Fax Number	:	301-705-8718

Authorized Official
Title or Position	:	ASSISTANT VICE PRESIDENT
Name	:	CHRIS CELLA
Credential	:	RPH
Telephone Number	:	508-651-5621

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1114534245 — BJ'S WHOLESALE CLUB INC.
Practice Location Address:

1000 SAINT NICHOLAS DR
WALDORF, MD
20603-4767

Practice Phone: 301-705-5100
Practice Fax:

1316705437 — OLUJARE-ABIOLA LAWAL
Practice Location Address:

117 SAINT PATRICKS DR
WALDORF, MD
20603-4574

Practice Phone: 301-684-6754
Practice Fax:

1255537247 — WALGREEN CO
Practice Location Address:

2970 SHASHO PL
WALDORF, MD
20603-4840

Practice Phone: 301-645-3095
Practice Fax: 301-705-7801

1891553004 — MYRIAH DAVIS LMSW
Practice Location Address:

2337 LEYTON CT
WALDORF, MD
20603-3703

Practice Phone: 540-760-9493
Practice Fax:

1780929976 — CYNTHIA MARIE GLOVER-SINGLETON RN, PMHNP-BC
Practice Location Address:

9874 FRANKFURT DR
WALDORF, MD
20603-5334

Practice Phone: 240-270-1730
Practice Fax:

1275466575 — ARNOLD KEBENOU TONFEN
Practice Location Address:

2899 YELLOW BIRCH LN
WALDORF, MD
20603-4793

Practice Phone: 757-956-8437
Practice Fax:

Directions to “BJS WHOLESALE CLUB INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.