MISSOURI CVS PHARMACY LLC


Address: 1883 Wentzville Pkwy, Wentzville, MO 63385-3896
Phone: 6366397434

MISSOURI CVS PHARMACY LLC (NPI# 1609060789) 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) 1609060789
Entity Type Organization
Organization Name MISSOURI CVS PHARMACY LLC
Other Organization Name CVS PHARMACY #17410
Practice Address 1883 Wentzville Pkwy
Wentzville
MO 63385-3896
Mailing Address 1 Cvs Dr
Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 6366397434
Practice Fax Number 6366397444
Mailing Telephone 4017651500
Enumeration Date 2007-08-31
Last Update Date 2016-11-21
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 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
2007029735 MO Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2049569 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #17410 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1883 WENTZVILLE PKWY
City WENTZVILLE
State MO
Zip Code 63385-3896

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619380045 Farhad J Khave Pharmacist 1883 Wentzville Pkwy, Wentzville, MO 63385-3896 2014-06-03
1699060186 Steven Matthew Fine Pharmacist 1883 Wentzville Pkwy, T-2345, Wentzville, MO 63385-3896 2011-06-13
1518252147 Meghan Nicole Kohler Pharmacist 1883 Wentzville Pkwy, T-2345, Wentzville, MO 63385-3896 2011-06-11
1255655064 Leslie Albert Price Pharmacist 1883 Wentzville Pkwy, Wentzville, MO 63385-3896 2010-03-23
1356597702 Adam L Mcintosh Pharmacist 1883 Wentzville Pkwy, Wentzville, MO 63385-3896 2008-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235730243 Jeffery William Ellis Pharmacist 1571 Wentzville Parkway, Wentzville, MO 63385 2020-11-05
1487266011 Jason Wade Moore Peer Specialist 5 West Pearce Boulevard, Wentzville, MO 63385 2020-08-17
1265906176 Montrice M Haynes Counselor 500 Medical Dr., Central Intake, Wentzville, MO 63385 2019-01-14
1841718459 Linda Duree Counselor 7105 Whisper Creek Dr, Wentzville, MO 63385 2017-09-03
1811349368 Sara Kleinlein Social Worker 500 Medical Drive, Wentzville, MO 63385 2016-07-08
1275980757 Teona Moeller Nurse Practitioner 1598 West Meyer Dr., Wentzville, MO 63385 2016-05-16
1831561273 Jay F. Hauser, Dds, PC Dentist 11 Wentzville Bluffs Drive, Wentzville, MO 63385 2015-10-26
1720402035 Shara Kuehl Speech-Language Pathologist One Campus Drive, Wentzville, MO 63385 2014-02-06
1336480474 Simply Loyal In Home and Transport Services LLC Home Health 152 Enterprise Dr, Wentzille, MO 63385 2013-03-14
1750641338 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 1849 Wentzville Parkway, Wentzville, MO 63385 2012-05-17
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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 city

NPI Name Taxonomy Address Enumeration
1386174894 Lake Forest Pharmacy Pharmacy 950 Corporate Pkwy Ste 104, Wentzville, MO 63385-4851 2017-06-16
1033283502 The Corner Drugstore Inc Pharmacy 1251 Wentzville Pkwy, Wentzville, MO 63385-3749 2006-11-17
1760572705 Dierbergs Markets Inc Pharmacy 1820 Wentzville Parkway, Wentzville, MO 63385 2006-10-13
1154728640 Ssm Health Care St Louis Pharmacy 500 Medical Dr, Wentzville, MO 63385-3421 2014-11-26

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 WENTZVILLE
Zip Code 63385

Improve Information

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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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