Maryland Cvs Pharmacy LLC
Maryland Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Frederick, MD, holding Type 2 (organization) NPI 1679676498 since 2006. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679676498 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Maryland Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 300 BALLENGER CENTER DR, Frederick, MD, 21703 |
| Phone | 3016827213 |
| Enumeration date | 2006-09-07 |
| Last updated in NPPES | 2011-11-25 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | P02059 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121832 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Maryland Cvs Pharmacy LLC NPI: 1679676498 Taxonomy: 333600000X (Pharmacy) Address: 300 BALLENGER CENTER DR, Frederick, MD, 21703
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528470994 | Tami Mckinney | Individual | Physician Assistant | Frederick, MD |
| 1902206188 | Jigna Patel | Individual | Pharmacist | Frederick, MD |
| 1801269758 | Sherene Lindsay | Individual | Family Nurse Practitioner | Frederick, MD |
| 1679059794 | Malvis Tamon | Individual | Family Nurse Practitioner | Frederick, MD |
| 1881255842 | Florence Fakayode | Individual | Family Nurse Practitioner | Frederick, MD |
| 1730785411 | Binta Mbimakam | Individual | Pharmacist | Frederick, MD |
| 1487248548 | Rocky Gallamoza | Individual | Family Nurse Practitioner | Frederick, MD |
| 1114699428 | Lili Tha | Individual | Physician Assistant | Frederick, MD |
Verify this record
Cross-check NPI 1679676498 against the authoritative CMS record: view Maryland Cvs Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Maryland Cvs Pharmacy LLC?
Who is the authorized official for Maryland Cvs Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-25.