CVS PHARMACY # 06614
NPI 1730415795
Pharmacy in Havre De Grace, MD

Active since October 27, 2009CLIA 21D2283765 · Waiver
1008 PULASKI HWY, HAVRE DE GRACE, MD 21078(410) 939-6427 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy # 06614 NPPES

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

CVS PHARMACY # 06614 (NPI 1730415795) is a healthcare organization registered as a pharmacy in Havre De Grace, Maryland and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Susan F Colbert, Director, Managed Care Contract Adm, as its authorized official.

NPPES Registry Identity

NPI1730415795
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMARYLAND CVS PHARMACY, L.L.C.
Location Address1008 PULASKI HWYHavre De Grace, MD 21078
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector, Managed Care Contract Adm · (401) 765-1500
Enumeration DateOctober 27, 2009
Last NPPES UpdateMay 31, 2018
NPI 1730415795 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
1008 PULASKI HWY, Havre De Grace, MD 21078

Other Names 1

Doing Business AsCvs Pharmacy # 06614

Other Identifiers 3

Other2134928MD · Ncpdp
Medicaid029237100 RXMD
Medicaid029246000 DMEMD

Accepted 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 21D2283765

Maryland CVS Pharmacy LLC Dba CVS Pharmacy #06614 · Havre De Grace, MD
Active · expires Jun 12, 2027
CLIA Number21D2283765
Laboratory TypePharmacy
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorAlaaeldin Abdelrahman
Laboratory Phone(410) 939-6427
Laboratory LocationMaryland CVS Pharmacy LLC Dba CVS Pharmacy #066141008 Pulaski Hwy, Havre De Grace, MD 21078
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 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.
309 services306 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.
173 services173 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.
115 services115 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.
18 services18 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 19

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

Maryland CVS Pharmacy CVS Pharmacy

DMEPOS supplier · Havre De Grace, MDOperated by Maryland CVS Pharmacy LLC.

Accepts Medicare assignment

Maryland CVS Pharmacy CVS Pharmacy 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)20308763
Medicare Participant SinceJanuary 1, 2023
Supplier Location1008 Pulaski HwyHavre De Grace, MD 21078
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 2

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

Pharmacist
1008 PULASKI HWY, CVS # 6614
HAVRE DE GRACE, MD 21078
Pharmacist
1008 PULASKI HWY
HAVRE DE GRACE, MD 21078

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, L.L.C.'s NPI number?

The NPI number for Maryland CVS Pharmacy, L.L.C. is 1730415795. It was assigned to this organization in the NPPES registry on October 27, 2009. The provider is doing business as CVS Pharmacy # 06614.

Where is Maryland CVS Pharmacy, L.L.C. located?

Maryland CVS Pharmacy, L.L.C. is located at 1008 Pulaski Hwy, Havre De Grace, MD 21078. The listed phone number is (410) 939-6427.

What is Maryland CVS Pharmacy, L.L.C.'s specialty?

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

Does Maryland CVS Pharmacy, L.L.C. accept Medicare assignment for medical equipment?

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

Does Maryland CVS Pharmacy, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2283765) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maryland CVS Pharmacy, L.L.C. 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, L.L.C. 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, L.L.C. was last updated on May 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.