MISSOURI CVS PHARMACY L.L.C. NPI 1780911594

NPI Details

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 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.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• 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)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.