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MISSOURI CVS PHARMACY L.L.C. NPI 1023045465


NPI Information

NPI: 1023045465
Provider Name: MISSOURI CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #18040

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
10275 CLAYTON RD
SAINT LOUIS, MO
ZIP 63124
Phone: (314) 983-0142
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MISSOURI CVS PHARMACY, L.L.C. is a community/retail pharmacy pharmacy in Saint Louis, MO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MISSOURI CVS PHARMACY, L.L.C. NPI is 1023045465. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cvs Pharmacy #18040.

The provider's business location address is:

10275 CLAYTON RD
SAINT LOUIS, MO
ZIP 63124-115
Phone: (314) 983-0142
Fax: (314) 983-0143

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/17/2020.


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
1163WD0400XRegistered NurseDiabetes EducatorNo
2261QM2500XClinic/CenterMedical SpecialtyNo
3332B00000XDurable Medical Equipment & Medical Supplies006562MISSOURINo
4333600000XPharmacy006562MISSOURINo
53336C0003XPharmacyCommunity/Retail PharmacyYes

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
12632467OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2603955006MEDICAIDMISSOURI

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.