MISSOURI CVS PHARMACY, L.L.C. (NPI# 1104861129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104861129 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY, L.L.C. |
| Other Organization Name | SCHNUCKS PHARMACY |
| Practice Address |
10650 Olive Blvd Saint Louis MO 63141-7834 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3144325599 |
| Practice Fax Number | 3144326479 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCHNUCK MARKETS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 006282 | MO | Suppliers |
| N | 333600000X | Pharmacy | 006282 | MO | Suppliers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2631299 | 01 | |
| MO | 608885208 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #18001 | Doing Business As Name - Organization |
| SCHNUCKS PHARMACY | 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 |
10650 OLIVE BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871132977 | Erica D Johnson | Pharmacist | 10650 Olive Blvd, Saint Louis, MO 63141-7834 | 2020-01-06 |
| 1508405564 | Gabrielle Barnes | Pharmacist | 10650 Olive Blvd, Saint Louis, MO 63141-7834 | 2019-12-22 |
| 1447736566 | Kathleen Anne Logsdon | Pharmacist | 10650 Olive Blvd, Saint Louis, MO 63141-7834 | 2018-07-11 |
| 1407332646 | Lyubov Lane | Pharmacist | 10650 Olive Blvd, Saint Louis, MO 63141-7834 | 2018-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893071 | Key Healthmeds LLC | Pharmacy | 522 N New Ballas Rd Ste 206, Saint Louis, MO 63141-6819 | 2018-12-18 |
| 1366926552 | Amc Pharmacy | Pharmacy | 2653 Locust St, Saint Louis, MO 63103-1411 | 2018-09-24 |
| 1730606401 | Mercy Pharmacy Services, LLC | Pharmacy | 12680 Olive Blvd Ste 150, Saint Louis, MO 63141-6364 | 2017-08-24 |
| 1487171153 | Mercy Pharmacy Services, LLC | Pharmacy | 12348 Old Tesson Rd Ste 100, Saint Louis, MO 63128-2251 | 2017-08-24 |
| 1902323678 | Mercy Pharmacy Services, LLC | Pharmacy | 621 S New Ballas Rd Ste 20a, Saint Louis, MO 63141-8251 | 2017-08-24 |
| 1154722841 | Missouri Baptist Medical Center | Pharmacy | 3844 S Lindbergh Blvd Ste 150, Saint Louis, MO 63127-1368 | 2014-09-12 |
| 1720332752 | Readymed Pharmacy Inc. | Pharmacy | 13218 Tesson Ferry Rd, Saint Louis, MO 63128-3840 | 2012-10-29 |
| 1336498484 | Sai Health Pharmacy LLC | Pharmacy | 135 W Washington St, Saint Louis, MI 48880-1534 | 2012-09-05 |
| 1700929866 | Rehoboth Pharmacy LLC | Pharmacy | 9944 W Florissant Ave, Saint Louis, MO 63136-1432 | 2007-02-15 |
| 1023173986 | Long Term Care Rx, Inc. | Pharmacy | 1a Document Dr, Saint Louis, MO 63114 | 2006-12-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on MISSOURI CVS PHARMACY, L.L.C..
| 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.