CVS PHARMACY 04650
NPI 1679676498
Pharmacy in Frederick, MD

Q: What is Maryland CVS Pharmacy LLC's NPI number?

The NPI number for Maryland CVS Pharmacy LLC is 1679676498. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy 04650.

Q: What is Maryland CVS Pharmacy LLC's specialty?

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

Active since September 07, 2006

300 BALLENGER CENTER DR, FREDERICK, MD 21703(301) 682-7213 Get Directions Write a Review

NPPES record last updated: November 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cvs Pharmacy 04650 NPPES

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

CVS PHARMACY 04650 (NPI 1679676498) is a healthcare organization registered as a pharmacy in Frederick, Maryland and active in the NPI registry since September 2006. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1679676498

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMARYLAND CVS PHARMACY LLC

Location Address300 BALLENGER CENTER DRFrederick, MD 21703-7096

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108

Phone(301) 682-7213

Organization SubpartNo

Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751

Enumeration DateSeptember 7, 2006

Last NPPES UpdateNovember 25, 2011

✔ NPI 1679676498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MD · P02059

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

300 BALLENGER CENTER DR, Frederick, MD 21703

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Other Names 1

Doing Business AsCvs Pharmacy 04650

Other Identifiers 3

Medicare PIN161982

Medicare NSC5911980144MD

Other2121832Other Id Number-commercial Number

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 ›

Areas of Expertise CMS Part B claims 5

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.

406 services401 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.

212 services212 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

163 services163 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.

40 services40 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.

37 services37 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #04650 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04650

DMEPOS supplier · Frederick, MDOperated by Maryland CVS Pharmacy LLC.

✔

Accepts Medicare assignment

CVS Pharmacy #04650 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)20310107

Medicare Participant SinceJanuary 1, 2023

Supplier Location300 Ballenger Center DrFrederick, MD 21703

Phone(301) 682-7213

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

Infusion Drugs

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

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 10

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

LILI THA

Physician Assistant