MISSOURI CVS PHARMACY, L.L.C.


Address: 1018 N Jesse James Rd, Excelsior Springs, MO 64024
Phone: 8166375555

MISSOURI CVS PHARMACY, L.L.C. (NPI# 1376621557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376621557
Entity Type Organization
Organization Name MISSOURI CVS PHARMACY, L.L.C.
Other Organization Name CVS PHARMACY #11309
Practice Address 1018 N Jesse James Rd
Excelsior Springs
MO 64024
Mailing Address 1 Cvs Drive
Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 8166375555
Mailing Telephone 4017651500
Mailing Fax Number 6608866320
Enumeration Date 2006-11-02
Last Update Date 2018-09-06
Authorized Official Name SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #11309 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1018 N JESSE JAMES RD
City EXCELSIOR SPRINGS
State MO
Zip Code 64024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336664093 Kathryn Hartley Pharmacist 1018 N Jesse James Rd, Excelsior Springs, MO 64024-1202 2017-08-03
1184077919 Christa Tetuan Pharmacist 1018 N Jesse James Rd, Excelsior Springs, MO 64024-1202 2016-07-17
1508265836 Stephanie Paul Pharmacist 1018 N Jesse James Rd, Excelsior Springs, MO 64024-1202 2014-08-22
1942586441 Kristin Rachele Vetter Pharmacist 1018 N Jesse James Rd, Excelsior Springs, MO 64024-1202 2011-10-27
1649593351 Jane Ann Mullins Pharmacist 1018 N Jesse James Rd, Excelsior Springs, MO 64024-1202 2010-03-09
1528392578 Amanda Johnson Pharmacist 1018 N Jesse James Rd, Excelsior Springs, MO 64024-1202 2009-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417414178 Allison Gordy Nurse Practitioner 10101 N Jesse James Rd., Excelsior Springs, MO 64024 2019-02-28
1508398892 Holly Nicole Courtney Occupational Therapist 1300 Meadowlark Ln, Excelsior Springs, MO 64024 2017-03-28
1063839835 John Paul Schutz Family Medicine 25814 Wornall Road, Excelsior Springs, MO 64024 2014-03-18
1215276977 Anna M Wells Nurse Practitioner 1006 N Jesse James Rd Suite #1, Excelsior Springs, MO 64024 2013-01-31
1326386749 New Liberty Hospital Corporation Family Medicine 199 S Mccleary Rd, Suite 100, Excelsior Springs, MO 64024 2013-01-18
1306132600 Christopher Cooper Family Medicine 199 S. Mccleary Rd, Excelsior Springs, MO 64024 2011-06-24
1295922458 Dst Inc Assisted Living Facility 410 Superior, Excelsior Springs, MO 64024 2007-10-01
1114084738 Medical Arts Centers Inc Family Medicine 950 N Jesse James Rd, Excelsior Spgs, MO 64024 2007-01-02
1265464234 Excelsior Springs 1 Inc Skilled Nursing Facility 1410 Hospital Drive, Excelsior Springs, MO 64024 2006-07-07
1801868872 David Joseph Smith Family Medicine 197 Mccleary Rd., Dept of Veterans Affairs Excelsior Springs Cboc, Excelsior Springs, MO 64024 2006-02-03
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912506437 E Health Pharmacy, LLC Pharmacy 411d Northview Rd, Nixa, MO 65714-8679 2020-10-26
1750994869 Script Partner Pharmacy LLC Pharmacy 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 2020-08-28
1821600545 Debbie S Pharmacy LLC Pharmacy 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 2020-08-24
1689285082 Logan & Seiler Inc Pharmacy 102 Hospitality Drive, Suite B, Sikeston, MO 63801 2020-08-11
1023626389 Lemonaid Community Pharmacy, Inc Pharmacy 7580 Watson Rd, Saint Louis, MO 63119-4409 2020-07-22
1689207870 Washington University Cancer Center Pharmacy - North County Pharmacy 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 2020-02-17
1942847413 Southeast Hospital Pharmacy 2600 E. Main Street, Suite 113, Jackson, MO 63755 2019-12-04
1720624323 Toney Drug & Wellness, LLC Pharmacy #1 Hals Plaza Dr, Piedmont, MO 63957 2019-11-19
1427606912 Medley Pharmacy Inc Pharmacy 1024 S Bishop Ave, Rolla, MO 65401-4416 2019-08-28
1013479716 Cerner Health Connections, Inc. Pharmacy 1403 Hampton Avenue, St. Louis, MO 63139 2019-04-02
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Competitor

Search similar providers

City EXCELSIOR SPRINGS
Zip Code 64024

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Dataset Information

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.

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