MISSOURI CVS PHARMACY, L.L.C. (NPI# 1205189024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205189024 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY, L.L.C. |
| Other Organization Name | SCHNUCKS PHARMACY 174 |
| Practice Address |
2511 Kehrs Mill Rd Chesterfield MO 63017-7358 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6365272060 |
| Practice Fax Number | 6365272061 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 3149944586 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| 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 | Suppliers | ||
| N | 333600000X | Pharmacy | 2012035345 | MO | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2012035345 | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #18036 | Doing Business As Name - Organization |
| Schnucks Pharmacy 174 | 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 |
| 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 |
| 1962714386 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14400 Clayton Rd, Ballwin, MO 63011-2713 | 2010-07-14 |
| Street Address |
2511 KEHRS MILL RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-7358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881170769 | Brandon Collins | Pharmacist | 2511 Kehrs Mill Rd, Chesterfield, MO 63017-7358 | 2018-07-13 |
| 1235615485 | Jason E Bell | Pharmacist | 2511 Kehrs Mill Rd, Chesterfield, MO 63017-7358 | 2018-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| 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 |
|---|---|---|---|---|
| 1518318203 | Experiencedrx LLC | Pharmacy | 700 Crown Industrial Ct, Suite N and O, Chesterfield, MO 63005-1128 | 2016-06-24 |
| 1891027769 | Forum Rx Inc | Pharmacy | 106b Four Seasons Shopping Center, Chesterfield, MO 63017-3157 | 2010-02-03 |
| 1730311432 | Bridges & James Inc | Pharmacy | 107 West Blvd, Chesterfield, SC 29709-1528 | 2009-08-13 |
| 1932241320 | Forum Center Pharmacy Inc | Pharmacy | 67 Forum Shopping Center, Chesterfield, MO 63017-3006 | 2007-02-13 |
| 1184723488 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 47011 Gratiot Ave, Chesterfield, MI 48051-2761 | 2006-09-22 |
| 1164521464 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 52950 Gratiot Ave, Chesterfield, MI 48051-2046 | 2006-09-22 |
| 1740384411 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 6400 Centralia Rd, Chesterfield, VA 23832-6523 | 2006-09-12 |
| 1790897643 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 33920 23 Mile Rd, Chesterfield, MI 48047-4005 | 2006-08-31 |
| 1548264591 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2005-06-08 |
| 1770985905 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2014-09-18 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on MISSOURI CVS PHARMACY, L.L.C..
| 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.