MISSOURI CVS PHARMACY L.L.C. NPI 1407251069

NPI Information

  • NPI: 1407251069
  • Provider Name: MISSOURI CVS PHARMACY, L.L.C.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: SCHNUCKS PHARMACY743
  • Address: 942 VALLEY CREEK DR
    FARMINGTON, MO
    ZIP 63640
  • Phone: (573) 664-5202

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NPI Details

MISSOURI CVS PHARMACY, L.L.C. is a community/retail pharmacy pharmacy in Farmington, 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 1407251069. The provider is registered as an organization entity type.
The provider Is Doing Business As Schnucks Pharmacy743.

The provider's business location address is:

942 VALLEY CREEK DR
FARMINGTON, MO
ZIP 63640-968
Phone: (573) 664-5202
Fax: (573) 664-5203

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 10/24/2014 and was last updated on 6/26/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyMISSOURINo
4163WD0400XRegistered NurseDiabetes EducatorNo
53336C0003XPharmacyCommunity/Retail PharmacyMISSOURIYes

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: 3/30/2025

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