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MISSOURI CVS PHARMACY L.L.C. NPI 1780911594


NPI Information

NPI: 1780911594
Provider Name: MISSOURI CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #05670

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 26D2225298

Address:
9141 OLIVE BLVD
OLIVETTE, MO
ZIP 63132
Phone: (314) 432-2296
Get Directions

MISSOURI CVS PHARMACY, L.L.C. is a pharmacy in Olivette, 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 1780911594. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #05670.

The provider's business location address is:

9141 OLIVE BLVD
OLIVETTE, MO
ZIP 63132-722
Phone: (314) 432-2296
Fax: (314) 432-3354

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

The CLIA number assigned to this NPI record is 26D2225298 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2009 and was last updated on 10/31/2013.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11780911594MEDICAIDMISSOURI
2=========003MEDICAIDILLINOIS
32638902OTHERNCPDP
4P00754562MEDICARE PINMISSOURI
59004340MEDICARE PIN
65724300050MEDICARE NSC

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: 5/5/2024

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.