MISSOURI CVS PHARMACY, L.L.C. (NPI# 1255649026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255649026 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 04191 |
| Practice Address |
4100 Gravois Ave Saint Louis MO 63116-3520 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3147620752 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2013-10-31 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1255649026 | 05 | |
| NCPDP | 2639283 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 04191 | 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 |
| 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 |
4100 GRAVOIS AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63116-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713395 | Trinity Cares LLC | In Home Supportive Care | 4343 Osceola, St Louis, MO 63116 | 2018-09-13 |
| 1437689213 | Veronica Leigh Delgado | Social Worker | 3430 Grace Ave, St. Louis, MO 63116 | 2017-06-14 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1639426620 | Candice Daily | Home Health | 6824 Salzburger Ave, Saint Louis, MO 63116 | 2012-08-08 |
| 1104001304 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3573 Bamberger Ave., St. Louis, MO 63116 | 2008-01-07 |
| 1053533018 | Ryan Wesley Riney | Pharmacist | 3865 Gravois, St. Louis, MO 63116 | 2007-05-02 |
| 1508983040 | Marc Robert Boivin | Dentist | 4181 Loughborough Ave, St Louis, MO 63116 | 2007-03-22 |
| 1750454484 | Hector Ocampo Pineda | Internal Medicine | 4460 Chippewa St, St Louis, MO 63116 | 2006-11-17 |
| 1003926130 | Ann Heath Pietroburgo | Occupational Therapist | 4600 Chippewa, Ste F, St Louis, MO 63116 | 2006-08-30 |
| 1891216776 | Sheila Edwards | Licensed Practical Nurse | 4066 Dunnica Ave, Saint Louis, MO 63116 | 2017-06-30 |
| Find all providers in zip 63116 | ||||
| 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 |
|---|---|---|---|---|
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1962978858 | Ubc Pharmacy LLC | Pharmacy | 4700 N Hanley Rd Ste B, Saint Louis, MO 63134-2700 | 2018-10-17 |
| 1730655747 | Symbria Rx Services St. Louis, LLC | Pharmacy | 2248 Welsch Industrial Ct, Saint Louis, MO 63146-4222 | 2018-10-17 |
| 1174056642 | Tpd Pharmacy | Pharmacy | 5937 W Florissant Ave Ste 1, Saint Louis, MO 63136-4952 | 2017-04-11 |
| 1104162999 | Washington University | Pharmacy | 5225 Midamerica Plz, Saint Louis, MO 63129-0002 | 2012-12-24 |
| 1972880789 | St. Louis Hills Pharmacy LLC | Pharmacy | 4365 Chippewa St Ste 100, Saint Louis, MO 63116-1606 | 2011-11-08 |
| 1568753150 | Mercy Pharmacy Services, LLC | Pharmacy | 12700 Southfork Rd Ste 110, Saint Louis, MO 63128-3201 | 2011-04-29 |
| 1033426424 | Esi Mail Pharmacy Service Inc | Pharmacy | 4700 N Hanley Rd Ste C, Saint Louis, MO 63134-2700 | 2010-09-07 |
| 1497920375 | Schnuck Markets Inc | Pharmacy | 11420 Lackland Rd, Saint Louis, MO 63146-3559 | 2008-04-23 |
| 1194851592 | Sem Enterprises Inc | Pharmacy | 3418 Meramec St, Saint Louis, MO 63118-4208 | 2007-02-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63116 |
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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.