MEDICARE: MARYLAND CVS PHARMACY, L.L.C.

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	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	P00534	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2100852	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1932203866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARYLAND CVS PHARMACY, L.L.C.

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:	401-770-7108

Provider Business Practice Location Address
First Line	:	1290 E WEST HWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3242
Country	:	US
Telephone Number	:	301-588-6261
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, PAYER RELATIONS
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	11/12/2010

Similar Medicare Providers

1093277808 — REBAZ WAISE
Practice Location Address:

1286 E WEST HWY
SILVER SPRING, MD
20910-3242

Practice Phone: 301-761-4489
Practice Fax:

1780617035 — GIANT OF MARYLAND LLC
Practice Location Address:

1280 E WEST HWY
SILVER SPRING, MD
20910-3242

Practice Phone: 301-565-0575
Practice Fax: 301-587-7324

1811306004 — CVS CAREMARK CORPORATION
Practice Location Address:

1290 E WEST HWY
SILVER SPRING, MD
20910-3242

Practice Phone: 301-488-6261
Practice Fax: 301-588-2297

1598167108 — ZELALEM BEKELE
Practice Location Address:

1290 E WEST HWY
SILVER SPRING, MD
20910-3242

Practice Phone: 301-588-6261
Practice Fax: 301-588-2297

1356744148 — DR. YEMISI VIVIAN OBEMBE PHARMD, MBA.
Practice Location Address:

1290 E WEST HWY
SILVER SPRING, MD
20910-3242

Practice Phone: 301-588-6261
Practice Fax:

1245637024 — JESSICA ANN MENACHERY PHARM.D
Practice Location Address:

1290 E WEST HWY
SILVER SPRING, MD
20910-3242

Practice Phone: 301-588-6261
Practice Fax:

Directions to “MARYLAND CVS PHARMACY, L.L.C. ” 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.