Maryland Cvs Pharmacy LLC
Maryland Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Laurel, MD, holding Type 2 (organization) NPI 1972602324 since 2006. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972602324 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Maryland Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 15100 BALTIMORE AVE, Laurel, MD, 20707 |
| Phone | 3017765404 |
| Enumeration date | 2006-09-22 |
| Last updated in NPPES | 2022-05-18 |
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 | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 570059100 | Medicaid | MD | — |
| 2132417 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Maryland Cvs Pharmacy LLC NPI: 1972602324 Taxonomy: 333600000X (Pharmacy) Address: 15100 BALTIMORE AVE, Laurel, MD, 20707
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285629360 | Sharon Johnson | Individual | Family Nurse Practitioner | Laurel, MD |
| 1558468371 | Shelia Bowe-Connor | Individual | Pharmacist | Laurel, MD |
| 1366877458 | Solomon Akinwusi | Individual | Pharmacist | Laurel, MD |
| 1154739746 | Jennifer Borghaus | Individual | Pharmacist | Laurel, MD |
| 1689083255 | Laden Tankut | Individual | Pharmacist | Laurel, MD |
| 1053710244 | Asmait Mebrahtu | Individual | Pharmacotherapy Pharmacist | Laurel, MD |
| 1194125054 | Sayra Liendo Hernandez | Individual | Pharmacist | Laurel, MD |
| 1174924245 | Bichoy Hanna | Individual | Pharmacist | Laurel, MD |
Verify this record
Cross-check NPI 1972602324 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 2022-05-18.