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CVS PHARMACY # 03047
NPI 1336553452
Pharmacy in Lanham, MD

Active since June 17, 2014CLIA 21D2226559 · Waiver
8601 MARTIN LUTHER KING JR HWY, LANHAM, MD 20706(301) 322-7314 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy # 03047 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY # 03047 (NPI 1336553452) is a healthcare organization registered as a pharmacy in Lanham, Maryland and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1336553452
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMARYLAND CVS PHARMACY LLC
Location Address8601 MARTIN LUTHER KING JR HWYLanham, MD 20706-1500
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(301) 322-7314
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateJune 17, 2014
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1336553452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
8601 MARTIN LUTHER KING JR HWY, Lanham, MD 20706
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Other Names 1

Doing Business AsCvs Pharmacy # 03047

Other Identifiers 5

OtherNCPDPMD · 2138510
Medicaid0867853 00 DMEMD
Medicare NSC5911980176MD
Medicaid0867845 00 RXMD
Medicare PIN163087MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2226559

Maryland CVS Pharmacy LLC Dba Cvs/Pharmacy #03047 · Lanham, MD
Active · expires Jun 1, 2027
CLIA Number21D2226559
Laboratory TypePharmacy
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorThelma Falana
Laboratory Phone(301) 322-7314
Laboratory LocationMaryland CVS Pharmacy LLC Dba Cvs/Pharmacy #030478601 Martin Luther King Jr Hwy, Lanham, MD 20706
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
181 services177 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
160 services160 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 03047 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 03047

DMEPOS supplier · Lanham, MDOperated by Maryland CVS Pharmacy LLC.
✔

Accepts Medicare assignment

CVS Pharmacy # 03047 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20309291
Medicare Participant SinceJanuary 1, 2023
Supplier Location8601 Martin Luther King Jr HwyLanham, MD 20706
Phone(301) 322-7314
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW LIFE MEDICAL
Clinic/Center (Primary Care)
8601 MARTIN LUTHER KING JR HWY
LANHAM, MD 20706
Prince George's County (301) 773-6812
COLIN CARLTON OTTEY MD
Internal Medicine
8601 MARTIN LUTHER KING JR HWY, SUITE#1
LANHAM, MD 20706
Prince George's County (301) 773-6812
COLIN OTTEY MD, PC
Clinic/Center (Primary Care)
8601 MARTIN LUTHER KING JR HWY, SUITE 2
LANHAM, MD 20706
Prince George's County (301) 773-6812
FAMILY ADVOCACY NETWORK
Social Worker (Clinical)
8601 MARTIN LUTHER KING JR HWY, SUITE 4
LANHAM, MD 20706
Prince George's County (301) 322-1238
MARIAM DIALLO RPH
Pharmacist
8601 MARTIN LUTHER KING JR HWY
LANHAM, MD 20706
Prince George's County (301) 322-7314
MARION BESSEM MBENG PHARMD
Pharmacist
8601 MARTIN LUTHER KING JR HWY
GLENARDEN, MD 20706
Prince George's County (301) 322-7314
DR. ALEMAYEHU Y AKALU PHARMD
Pharmacist
8601 MARTIN LUTHER KING JR HWY
LANHAM, MD 20706
Prince George's County (301) 322-7314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryland CVS Pharmacy LLC's NPI number?

The NPI number for Maryland CVS Pharmacy LLC is 1336553452. It was assigned to this organization in the NPPES registry on June 17, 2014.

Where is Maryland CVS Pharmacy LLC located?

Maryland CVS Pharmacy LLC is located at 8601 Martin Luther King Jr Hwy, Lanham, MD 20706. The listed phone number is (301) 322-7314.

What is Maryland CVS Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Maryland CVS Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy # 03047 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Maryland CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2226559) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maryland CVS Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Maryland CVS Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryland CVS Pharmacy LLC was last updated on February 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.