Provider Type Icon

MISSOURI CVS PHARMACY L.L.C. NPI 1396845731


NPI Information

NPI: 1396845731
Provider Name: MISSOURI CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #05719

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
621 SW 3RD ST
LEES SUMMIT, MO
ZIP 64063
Phone: (816) 524-5084
Get Directions

MISSOURI CVS PHARMACY, L.L.C. is a pharmacy in Lees Summit, MO. The provider is 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. MISSOURI CVS PHARMACY, L.L.C. NPI is 1396845731. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #05719.

The provider's business location address is:

621 SW 3RD ST
LEES SUMMIT, MO
ZIP 64063-212
Phone: (816) 524-5084
Fax: (816) 524-0215

The provider's authorized official is Susan Colbert .
The authorized official title is Director and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 2/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy2004023146MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00754562MEDICARE PIN
2600198816MEDICAIDMISSOURI
35724300034MEDICARE NSC
49004340MEDICARE PIN
52600282OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.