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MISSOURI CVS PHARMACY L.L.C. NPI 1619903960


NPI Information

NPI: 1619903960
Provider Name: MISSOURI CVS PHARMACY, L.L.C.

Doing Business As: SCHNUCKS PHARMACY 176

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 26D2225352

Address:
1900 1ST CAPITOL DR
ST. CHARLES, MO
ZIP 63301
Phone: (636) 946-0738
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MISSOURI CVS PHARMACY, L.L.C. is a community/retail pharmacy pharmacy in St. Charles, 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 1619903960. The provider is registered as an organization entity type.
The provider Is Doing Business As Schnucks Pharmacy 176.

The provider's business location address is:

1900 1ST CAPITOL DR
ST. CHARLES, MO
ZIP 63301-609
Phone: (636) 946-0738
Fax: (636) 946-0775

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 CLIA number assigned to this NPI record is 26D2225352 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 6/10/2020.


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
1333600000XPharmacy005829MISSOURINo
2163WD0400XRegistered NurseDiabetes EducatorNo
3261QM2500XClinic/CenterMedical SpecialtyNo
4332B00000XDurable Medical Equipment & Medical Supplies005829MISSOURINo
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
12629941OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2601371925MEDICAIDMISSOURI

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.