MISSOURI CVS PHARMACY, L.L.C. (NPI# 1093893893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093893893 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #11313 |
| Practice Address |
101 S 2nd St Odessa MO 64076 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8166335518 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 6608866320 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #11313 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553474 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 60 Harvester Sq, St. Charles, MO 63303-6357 | 2018-09-27 |
| 1568947315 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2183 Charbonier Rd, Florissant, MO 63031-5500 | 2018-09-27 |
| 1467937201 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 9070 St. Charles Rock Rd, St. Louis, MO 63114-4246 | 2018-09-27 |
| 1356826200 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 500 Us Highway 50 W, Union, MO 63084-1938 | 2018-09-26 |
| 1093163792 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 696-698 North Hwy 67 St., Florissant, MO 63031-5106 | 2016-06-03 |
| 1407251069 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 942 Valley Creek Dr, Farmington, MO 63640-1968 | 2014-10-24 |
| 1386059533 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 320 E Lexington St, Richmond, MO 64085 | 2014-06-26 |
| 1205189024 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2511 Kehrs Mill Rd, Chesterfield, MO 63017-7358 | 2012-10-17 |
| 1255649026 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4100 Gravois Ave, Saint Louis, MO 63116-3520 | 2010-09-15 |
| 1285940957 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11560 Olive Blvd, Creve Coeur, MO 63141 | 2010-08-19 |
| Street Address |
101 S 2ND ST |
| City | ODESSA |
| State | MO |
| Zip Code | 64076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285813782 | Carla A Struchtemeyer | Pharmacist | 101 S 2nd St, Odessa, MO 64076-1245 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
| 1619216231 | Heather N Begemann | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2013-02-01 |
| 1558640334 | Linda Lou Proctor | Registered Nurse | 1278 Old Us 40 Hwy, Odessa, MO 64076 | 2011-08-10 |
| 1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
| 1225004781 | Richard Joseph Humble | Counselor | 406a N 4th, Odessa, MO 64076 | 2006-02-24 |
| 1568962611 | Tina Marie Davis | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2018-02-15 |
| 1740701697 | Leslie Gleason | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2017-06-30 |
| 1982080008 | Danielle Fera | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2015-07-31 |
| 1184979940 | Lucas Paul Taylor | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2012-07-18 |
| 1285675132 | Odessa Family Pharmacy | Pharmacy | 316 W 40 Hwy, Ste A, Odessa, MO 64076 | 2006-06-10 |
| Find all providers in zip 64076 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093871360 | Asset Rx Inc | Pharmacy | 408 N 4th St, Ste A, Odessa, MO 64076-1152 | 2006-12-29 |
| 1922168160 | Pay and Save Inc | Pharmacy | 2021 E 8th St, Odessa, TX 79761-4203 | 2006-12-11 |
| 1710076401 | Golder Professional Pharmacy Inc | Pharmacy | 319 Golder Ave, Odessa, TX 79761-5009 | 2006-10-12 |
| 1669493631 | Infusion Assoc of W Texas LLC | Pharmacy | 1522 N Texas Ave, Odessa, TX 79761-2613 | 2006-07-22 |
| 1922045368 | United Supermarkets LLC | Pharmacy | 4950 E 42nd St, Odessa, TX 79762-7240 | 2006-06-02 |
| 1801880356 | Town & Country Drug, Inc. | Pharmacy | 2745 N Grandview Ave, Odessa, TX 79762-6952 | 2005-09-09 |
| 1255324836 | Ben-ray Inc. | Pharmacy | 310 Dotsy Ave, Odessa, TX 79763-4342 | 2005-08-29 |
| 1336657220 | Westex Pharmacy LLC | Pharmacy | 601 E 7th St, Odessa, TX 79761-4509 | 2018-01-13 |
| 1831259076 | Pay and Save Inc | Pharmacy | 1107 E 42nd St, Odessa, TX 79762-7723 | 2006-12-11 |
| 1285675132 | Odessa Family Pharmacy | Pharmacy | 316 W 40 Hwy, Ste A, Odessa, MO 64076 | 2006-06-10 |
| Find all providers in ODESSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.