MISSOURI CVS PHARMACY LLC (NPI# 1083658454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083658454 |
Entity Type | Organization |
Organization Name | MISSOURI CVS PHARMACY LLC |
Other Organization Name | CVS PHARMACY 08564 |
Practice Address |
17301 E Us Highway 24 Independence MO 64056-1807 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 8167968769 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2015-02-03 |
Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
Authorized Official Telephone | 4017651500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 2636681 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY 08564 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902437460 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6211 Delmar Blvd, Saint Louis, MO 63130-4814 | 2020-02-03 |
1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
1811365257 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1589 Bryan Rd, O'fallon, MO 63366-3709 | 2015-09-02 |
1003282138 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 200 Jungermann Rd, Saint Peters, MO 63376-5347 | 2015-08-12 |
1104205749 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 E Karsch Blvd, Farmington, MO 63640-1235 | 2015-05-28 |
1619371077 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2120 W Osage St, Pacific, MO 63069-1101 | 2014-10-14 |
1427458496 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 S New Florissant Rd, Florissant, MO 63031-8123 | 2014-08-27 |
1427466408 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 112 E 32nd St, Joplin, MO 64804-3801 | 2014-07-23 |
1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
1003230335 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8021 Watson Rd, Webster Groves, MO 63119-5304 | 2014-02-06 |
Street Address |
17301 E US HIGHWAY 24 |
City | INDEPENDENCE |
State | MO |
Zip Code | 64056-1807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588206577 | Maria Jeng | Nurse Practitioner | 17301 E Us Highway 24, Independence, MO 64056-1807 | 2019-10-11 |
1487147401 | Stephanie Scott | Nurse Practitioner | 17301 E Us Highway 24, Independence, MO 64056 | 2018-06-13 |
1598135246 | France Ordeus-plaisime | Nurse Practitioner | 17301 E Us Highway 24, Independence, MO 64056-1807 | 2015-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407490246 | Laurie Beth Clark | Nurse Practitioner | 17009 E Cheyenne Dr, Independence, MO 64056 | 2019-11-05 |
1376055004 | Jenny Vivian Wilson | Registered Nurse | 17301 East 24 Hwy, Independence, MO 64056 | 2017-11-03 |
1336423623 | Susann Nance | Pharmacist | 17811 E 24 Hwy, Independence, MO 64056 | 2011-10-05 |
1942303409 | Patrick J Morris | Dentist | 613 Se 5th St, Lees Summit, MO 64056 | 2006-09-07 |
1184639114 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2006-07-29 |
1518376748 | Brendon Magruder | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2014-08-13 |
1689941841 | Lochna Patel | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2011-11-16 |
1467734418 | Samantha Marie Scogn | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2011-09-15 |
1457505950 | Edwin M. Myers, D.d.s., P.C. | Clinic/Center | 18110 E Us Highway 24, Ste. A, Independence, MO 64056-1170 | 2008-11-11 |
1679546154 | Edwin M Myers | Dentist | 18110 E 24 Hwy, Independence, MO 64056-1170 | 2006-02-07 |
Find all providers in zip 64056 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
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. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790918639 | B Y Enterprises Inc | Pharmacy | 19321 E Us Highway 40 Ste P, Independence, MO 64055-5486 | 2009-08-26 |
1902958531 | Auburn Pharmacy, Inc. | Pharmacy | 16611 E 23rd St S, Independence, MO 64055-1922 | 2007-01-16 |
1265506786 | Lamp Food Stores Inc | Pharmacy | 2301 S Sterling Ave, Independence, MO 64052-3666 | 2006-11-17 |
1114000296 | Pauls Pharmacy Inc | Pharmacy | 345 W Railroad Ave, Independence, LA 70443-2292 | 2006-10-23 |
1285724336 | Petes Family Pharmacy LLC | Pharmacy | 539 W Railroad Ave, Independence, LA 70443 | 2006-10-12 |
1982615498 | Robcin Enterprises Inc | Pharmacy | 11724 E 23rd St S, Independence, MO 64050-4204 | 2006-08-10 |
1225074610 | Discount Drug Mart Inc | Pharmacy | 6160 Brecksville Rd, Independence, OH 44131-1504 | 2006-06-22 |
1073589032 | Guyll Pharmacy Inc | Pharmacy | 400 N Penn Ave, Independence, KS 67301-3012 | 2006-02-28 |
1013062090 | Ivna Medical Group LLC | Pharmacy | 4811 S Arrowhead Dr, Independence, MO 64055-6981 | 2007-01-23 |
1184721011 | Woodys Pharmacy Inc | Pharmacy | 576 E Main St, Independence, VA 24348-3879 | 2006-09-20 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 64056 |
Please comment or provide details below to improve the information on MISSOURI CVS PHARMACY LLC.
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.