1. Home
  2. Directory
  3. Maryland
  4. Edgewood
  5. Pharmacy
  6. NPI Profile

MARYLAND CVS PHARMACY LLC
NPI 1922101682
Pharmacy in Edgewood, MD

Active since September 07, 2006
1013 WOODBRIDGE CTR WAY, EDGEWOOD, MD 21040(410) 676-6100 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryland Cvs Pharmacy Llc NPPES

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

MARYLAND CVS PHARMACY LLC (NPI 1922101682), doing business as Cvs Pharmacy 04214, is a healthcare organization registered as a pharmacy in Edgewood, 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

NPI1922101682
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMARYLAND CVS PHARMACY LLC
Location Address1013 WOODBRIDGE CTR WAYEdgewood, MD 21040
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(410) 676-6100
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1922101682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MD · P00616
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
1013 WOODBRIDGE CTR WAY, Edgewood, MD 21040
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy 04214

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 6

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.
205 services202 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.
156 services156 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.
16 services16 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.
16 services16 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
12 services12 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.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #04214 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04214

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

Accepts Medicare assignment

CVS Pharmacy #04214 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)20310053
Medicare Participant SinceJanuary 1, 2023
Supplier Location1013 Woodbridge Center WayEdgewood, MD 21040
Phone(410) 676-6100
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.

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 1922101682. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy 04214.

Where is Maryland CVS Pharmacy LLC located?

Maryland CVS Pharmacy LLC is located at 1013 Woodbridge Ctr Way, Edgewood, MD 21040. The listed phone number is (410) 676-6100.

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 #04214 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 March 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.