MISSOURI CVS PHARMACY LLC (NPI# 1134141831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134141831 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16961 |
| Practice Address |
1201 W 136th St Kansas City MO 64145-1647 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8164120109 |
| Practice Fax Number | 8164129066 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-21 |
| 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 |
2015043651 | MO | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2048953 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16961 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902437460 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6211 Delmar Blvd, Saint Louis, MO 63130-4814 | 2020-02-03 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1811365257 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1589 Bryan Rd, O'fallon, MO 63366-3709 | 2015-09-02 |
| 1003282138 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 200 Jungermann Rd, Saint Peters, MO 63376-5347 | 2015-08-12 |
| 1104205749 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 E Karsch Blvd, Farmington, MO 63640-1235 | 2015-05-28 |
| 1619371077 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2120 W Osage St, Pacific, MO 63069-1101 | 2014-10-14 |
| 1427458496 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 S New Florissant Rd, Florissant, MO 63031-8123 | 2014-08-27 |
| 1427466408 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 112 E 32nd St, Joplin, MO 64804-3801 | 2014-07-23 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1003230335 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8021 Watson Rd, Webster Groves, MO 63119-5304 | 2014-02-06 |
| Street Address |
1201 W 136TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64145-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639560527 | Johnathon Watterson | Pharmacist | 1201 W 136th St, Kansas City, MO 64145-1647 | 2015-02-12 |
| 1083020531 | Matthew Fortner | Pharmacist | 1201 W 136th St, Kansas City, MO 64145-1647 | 2014-07-05 |
| 1811320773 | Grace Sumption | Pharmacist | 1201 W 136th St, T-1840, Kansas City, MO 64145-1647 | 2013-08-14 |
| 1851678122 | Monique Ledbetter | Pharmacist | 1201 W 136th St, Kansas City, MO 64145-1647 | 2011-11-14 |
| 1457646325 | Leslie Robertson Lair | Pharmacist | 1201 W 136th St, T1840, Kansas City, MO 64145-1647 | 2011-06-18 |
| 1821383704 | Allison R King | Pharmacist | 1201 W 136th St, Kansas City, MO 64145-1647 | 2011-06-18 |
| 1629363254 | Patrick Keegan | Pharmacist | 1201 W 136th St, Target Pharmacy T-1840, Kansas City, MO 64145-1647 | 2011-06-11 |
| 1740372242 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 1201 W 136th St, Kansas City, MO 64145 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701456 | Cathy Mckay | Nurse Practitioner | 13101 Stateline Road, Kansas City, MO 64145 | 2015-06-02 |
| 1457788135 | Alex Sharifian Dds Madison Dental Group PC | Dentist | 13541 Madison Avenue, Kansas City, MO 64145 | 2013-09-26 |
| 1598852949 | Richard B Bluel | Chiropractor | 13356 Holmes Road, Kansas City, MO 64145 | 2006-10-06 |
| 1225144470 | Gregory A. Stiver | Dentist | 325 East 135th St., Kansas City, MO 64145 | 2006-08-21 |
| 1710493432 | Ashlyn G Simmons | Social Worker | 421 E 137th St, Kansas City, MO 64145 | 2017-12-18 |
| 1255841532 | Lorna Adair Mccartney | Nurse Practitioner | 11901 Wornall Rd, Bldg 8, Ste 105, Kansas City, MO 64145 | 2017-10-02 |
| 1235678525 | Brook Operations LLC | Assisted Living Facility | 12942 Wornall Rd, Kansas City, MO 64145 | 2017-02-20 |
| 1639440837 | Michael David Ciaccio | Counselor | 421 E 137th St, Kansas City, MO 64145 | 2012-01-19 |
| 1578841573 | Gregory A. Stiver, D.d.s., P.C. | Dental Laboratory | 325 East 135th St., Kansas City, MO 64145 | 2011-07-26 |
| 1427293430 | Total Renal Care Inc | Clinic/Center | 12110 Holmes Rd, Kansas City, MO 64145 | 2008-12-04 |
| Find all providers in zip 64145 | ||||
| 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 |
|---|---|---|---|---|
| 1538726880 | University of Kansas Hospital Authority | Pharmacy | 901 N 5th St, Kansas City, KS 66101-2907 | 2019-05-22 |
| 1184167876 | Cerner Health Connections Inc | Pharmacy | 8779 Hillcrest, Building 1024.1, Kansas City, MO 64138 | 2016-11-29 |
| 1770958951 | Prxp of Ks LLC | Pharmacy | 300-340 Southwest Blvd, Suite 103, Kansas City, KS 66103-2150 | 2015-12-14 |
| 1457760878 | Cosentino Group Inc | Pharmacy | 9717 N Ash Ave, Kansas City, MO 64157-9678 | 2014-08-11 |
| 1528326253 | Genoa Healthcare, LLC | Pharmacy | 3100 Ne 83rd St Ste 1107, Kansas City, MO 64119-4460 | 2012-05-01 |
| 1366708935 | Affinity Biotech Inc | Pharmacy | 8040 Parallel Pkwy Ste 122, Kansas City, KS 66112-2072 | 2012-04-07 |
| 1447375613 | Transmed Pharmacy Inc | Pharmacy | 1001 E 101st Ter, Suite 240, Kansas City, MO 64131-3368 | 2007-03-20 |
| 1447302732 | Finnell & Bond Pharmacy Inc | Pharmacy | 3017 Strong Ave, Kansas City, KS 66106-2111 | 2007-01-17 |
| 1821153255 | Cosentino Enterprises Inc | Pharmacy | 2415 Ne Vivion Rd, Kansas City, MO 64118-6221 | 2006-12-26 |
| 1376606988 | Cosentino Enterprises Inc | Pharmacy | 10225 N Oak Trfy, Kansas City, MO 64155-1715 | 2006-12-18 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64145 |
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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.