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CVS PHARMACY #17457
NPI 1801044805
Pharmacy in Brandywine, MD

Active since September 03, 2008
15922 CRAIN HWY, BRANDYWINE, MD 20613(301) 720-9001(301) 720-9011 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2016, Aug 25, 2016, Jan 12, 2016 (3 updates tracked since 2016).

About Cvs Pharmacy #17457 NPPES

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

CVS PHARMACY #17457 (NPI 1801044805) is a healthcare organization registered as a pharmacy in Brandywine, Maryland and active in the NPI registry since September 2008. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1801044805
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMARYLAND CVS PHARMACY LLC
Location Address15922 CRAIN HWYBrandywine, MD 20613-8047
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(301) 720-9001
Fax(301) 720-9011
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateSeptember 3, 2008
Last NPPES UpdateOctober 31, 20163 updates tracked since enumeration
✔ NPI 1801044805 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 · License P07033 (MD)
15922 CRAIN HWY, Brandywine, MD 20613
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Other Names 1

Doing Business AsCvs Pharmacy #17457

Other Identifiers 2

Medicare NSC5911980203
Other2116782Pk

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 3

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.
108 services106 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.
80 services80 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17457 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17457

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

Accepts Medicare assignment

CVS Pharmacy #17457 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)20310437
Medicare Participant SinceJanuary 1, 2023
Supplier Location15922 Crain HwyBrandywine, MD 20613
Phone(301) 720-9000
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.

TARGET
Pharmacy (Community/Retail Pharmacy)
15922 CRAIN HWY
BRANDYWINE, MD 20613
Prince George's County (301) 720-9000
MYKISHA AVERY
Pharmacy Technician
15922 CRAIN HWY
BRANDYWINE, MD 20613
Prince George's County (301) 720-9001
IYANA VENIA MUSE P.T.
Pharmacy Technician
15922 CRAIN HWY
BRANDYWINE, MD 20613
Prince George's County (301) 720-9001
TRUONG V LE PHARMACIST
Pharmacist
15922 CRAIN HWY
BRANDYWINE, MD 20613
Prince George's County (540) 514-2124
DR. WILBERT W FERGUSON III PHARMD
Pharmacist
15922 CRAIN HWY, T-2394
BRANDYWINE, MD 20613
Prince George's County (301) 720-9001
MR. SEBASTIAN PALMER HALL
Pharmacist
15922 CRAIN HWY, T-2394
BRANDYWINE, MD 20613
Prince George's County (301) 720-3001
MAHEDER YISMU DACHEW
Pharmacist
15922 CRAIN HWY
BRANDYWINE, MD 20613
Prince George's County (301) 720-9001
ASHENAFI G LEMMA
Pharmacist
15922 CRAIN HWY
BRANDYWINE, MD 20613
Prince George's County (301) 720-9001

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 1801044805. It was assigned to this organization in the NPPES registry on September 3, 2008. The provider is doing business as CVS Pharmacy #17457.

Where is Maryland CVS Pharmacy LLC located?

Maryland CVS Pharmacy LLC is located at 15922 Crain Hwy, Brandywine, MD 20613. The listed phone number is (301) 720-9001.

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 #17457 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.