MISSOURI CVS PHARMACY, L.L.C. (NPI# 1083640338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083640338 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY, L.L.C. |
| Other Organization Name | SCHNUCKS PHARMACY |
| Practice Address |
3430 S Grand Blvd Saint Louis MO 63118-1004 |
| Mailing Address |
1 Cvs Dr # 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3147725722 |
| Practice Fax Number | 3148654897 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCHNUCK MARKETS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 005098 | MO | Suppliers |
| N | 333600000X | Pharmacy | 005098 | MO | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 602780009 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2626250 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #18029 | Doing Business As Name - Organization |
| SCHNUCKS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553474 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 60 Harvester Sq, St. Charles, MO 63303-6357 | 2018-09-27 |
| 1568947315 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2183 Charbonier Rd, Florissant, MO 63031-5500 | 2018-09-27 |
| 1467937201 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 9070 St. Charles Rock Rd, St. Louis, MO 63114-4246 | 2018-09-27 |
| 1356826200 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 500 Us Highway 50 W, Union, MO 63084-1938 | 2018-09-26 |
| 1093163792 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 696-698 North Hwy 67 St., Florissant, MO 63031-5106 | 2016-06-03 |
| 1407251069 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 942 Valley Creek Dr, Farmington, MO 63640-1968 | 2014-10-24 |
| 1386059533 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 320 E Lexington St, Richmond, MO 64085 | 2014-06-26 |
| 1205189024 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2511 Kehrs Mill Rd, Chesterfield, MO 63017-7358 | 2012-10-17 |
| 1255649026 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4100 Gravois Ave, Saint Louis, MO 63116-3520 | 2010-09-15 |
| 1285940957 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11560 Olive Blvd, Creve Coeur, MO 63141 | 2010-08-19 |
| Street Address |
3430 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215576954 | Samuel James Ivey | Pharmacist | 3430 S Grand Blvd, Saint Louis, MO 63118-1004 | 2019-12-28 |
| 1114403375 | Jennifer Lednick | Pharmacist | 3430 S Grand Blvd, Saint Louis, MO 63118-1004 | 2018-07-11 |
| 1467938670 | Tyler Lee Daugherty | Pharmacist | 3430 S Grand Blvd, Saint Louis, MO 63118-1004 | 2018-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893071 | Key Healthmeds LLC | Pharmacy | 522 N New Ballas Rd Ste 206, Saint Louis, MO 63141-6819 | 2018-12-18 |
| 1366926552 | Amc Pharmacy | Pharmacy | 2653 Locust St, Saint Louis, MO 63103-1411 | 2018-09-24 |
| 1730606401 | Mercy Pharmacy Services, LLC | Pharmacy | 12680 Olive Blvd Ste 150, Saint Louis, MO 63141-6364 | 2017-08-24 |
| 1487171153 | Mercy Pharmacy Services, LLC | Pharmacy | 12348 Old Tesson Rd Ste 100, Saint Louis, MO 63128-2251 | 2017-08-24 |
| 1902323678 | Mercy Pharmacy Services, LLC | Pharmacy | 621 S New Ballas Rd Ste 20a, Saint Louis, MO 63141-8251 | 2017-08-24 |
| 1154722841 | Missouri Baptist Medical Center | Pharmacy | 3844 S Lindbergh Blvd Ste 150, Saint Louis, MO 63127-1368 | 2014-09-12 |
| 1720332752 | Readymed Pharmacy Inc. | Pharmacy | 13218 Tesson Ferry Rd, Saint Louis, MO 63128-3840 | 2012-10-29 |
| 1336498484 | Sai Health Pharmacy LLC | Pharmacy | 135 W Washington St, Saint Louis, MI 48880-1534 | 2012-09-05 |
| 1700929866 | Rehoboth Pharmacy LLC | Pharmacy | 9944 W Florissant Ave, Saint Louis, MO 63136-1432 | 2007-02-15 |
| 1023173986 | Long Term Care Rx, Inc. | Pharmacy | 1a Document Dr, Saint Louis, MO 63114 | 2006-12-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.