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Missouri Cvs Pharmacy, L.L.C.

Pharmacy, Community/Retail Pharmacy in Saint Louis, MO. Organization (NPI-2).

NPI number1528094877
StatusActive
Last updated in NPPESJun 26, 2020

Details

NPI
1528094877
Entity type
Organization (NPI-2)
Legal business name
Missouri Cvs Pharmacy, L.L.C.
Organization subpart
Yes
Enumeration date
Jun 25, 2006
Certification date
Jun 26, 2020
Last updated
Jun 26, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHARMACY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
163WD0400X Registered Nurse, Diabetes Educator––
261QM2500X Clinic/Center, Medical Specialty––
332B00000X Durable Medical Equipment & Medical Supplies005848MO
333600000X Pharmacy005848MO

Other names

  • Schnucks Pharmacy (Doing Business As)
  • Cvs Pharmacy #18044 (Doing Business As)

Practice location

1020 Loughborough Ave
Saint Louis, MO 63111-2621

Phone 314-752-5272 · Fax 314-752-5273

Mailing address

1 Cvs Drive
Box #1075
Woonocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan Colbert
Sr. Director, Payer Relations
4017702751

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Retail Pharmacy providers in Saint Louis, MO

All 112 Community/Retail Pharmacy providers in Saint Louis · All 34,755 providers in Saint Louis

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