MISSOURI CVS PHARMACY, L.L.C. (NPI# 1508974023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508974023 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #11308 |
| Practice Address |
400 W Clay Ave Plattsburg MO 64477 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8165392121 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 6608866320 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-09-07 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2600117 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #11308 | 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 |
400 W CLAY AVE |
| City | PLATTSBURG |
| State | MO |
| Zip Code | 64477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154317972 | Robin L Murphy | Nurse Practitioner | 400 W Clay Ave, Plattsburg, MO 64477-1424 | 2005-09-27 |
| 1376568121 | New Liberty Medical & Hospital Corp | Clinic/Center | 400 W Clay Ave, Plattsburg, MO 64477-1424 | 2006-07-13 |
| 1992791701 | Harold M Turley | Family Medicine | 400 W Clay Ave, Plattsburg, MO 64477-1424 | 2005-09-27 |
| 1740276567 | New Liberty Medical & Hospital Corporation | Family Medicine | 400 W Clay Ave, Plattsburg, MO 64477-1424 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770617995 | Clinton County Health Department | Public Health or Welfare | 106 Bush St., Plattsburg, MO 64477 | 2007-03-16 |
| 1316019268 | Louis Loyd Proctor | Pharmacist | 400 W. Clay Ave., Plattsburg, MO 64477 | 2006-11-15 |
| 1215045745 | Andrea L Boyd | Pharmacist | 400 W. Clay Ave, Plattsburg Clinic Pharmacy, Plattsburg, MO 64477 | 2006-08-25 |
| 1326113507 | James M Hobbs II | Dentist | 903 Clay Ave, Plattsburg, MO 64477-0328 | 2006-11-22 |
| 1861488678 | Jane Anne Daffron | Family Medicine | Po Box D, Plattsburg, MO 64477-0504 | 2005-09-27 |
| 1932221447 | Cosmetic and Family Dentistry | Dentist | 106 N Main St, Plattsburg, MO 64477-1236 | 2007-04-04 |
| 1225179831 | David Louis Moyer | Dentist | 106 N Main St, Plattsburg, MO 64477-1236 | 2007-02-08 |
| 1659486181 | Mary Anne Kaser | Registered Nurse | 214 N Main St, Plattsburg, MO 64477-1238 | 2006-08-21 |
| 1851305163 | Cameron Regional Medical Center Inc | Clinic/Center | 214 N Main St, Plattsburg, MO 64477-1238 | 2006-07-29 |
| 1831173541 | Laeeq Azmat Tahirkheli | Internal Medicine | 214 N Main St, Plattsburg, MO 64477-1238 | 2005-12-06 |
| Find all providers in zip 64477 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PLATTSBURG |
| Zip Code | 64477 |
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.