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MISSOURI CVS PHARMACY L.L.C. NPI 1588763890


NPI Information

NPI: 1588763890
Provider Name: MISSOURI CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #05678

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
7907 STATE LINE RD
KANSAS CITY, MO
ZIP 64114
Phone: (816) 444-2000
Get Directions

MISSOURI CVS PHARMACY, L.L.C. is a pharmacy in Kansas City, 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 1588763890. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #05678.

The provider's business location address is:

7907 STATE LINE RD
KANSAS CITY, MO
ZIP 64114-015
Phone: (816) 444-2000
Fax: (816) 361-4693

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Mgr Phcy Enrollments and has the following contact phone number (401) 770-2937.

The enumeration date for this NPI number is 9/22/2006 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
2333600000XPharmacy2004023143MISSOURIYes

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
1600130926MEDICAIDMISSOURI
25724300038MEDICARE NSC
3P00754562MEDICARE PIN
42630499OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
59004340MEDICARE PIN

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: 4/28/2024

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.