Maryland CVS Pharmacy LLC
NPI 1629508478ActiveOrganization· Pharmacy· Jessup, MD
Pharmacy in Jessup, Maryland, registered in NPPES in June 2017. The authorized official on file is Susan Colbert, Sr Director-Payer Relations. Medicare paid $48,431 for services to 182 patients in 2024.
Overview
| NPI | 1629508478 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2017 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 182 |
|---|---|
| Services billed | 626 across 12 procedure codes |
| Paid by Medicare | $48,431 |