MISSOURI CVS PHARMACY, L.L.C. (NPI# 1386059533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386059533 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #11310 |
| Practice Address |
320 E Lexington St Richmond MO 64085 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8167763315 |
| Practice Fax Number | 8167762410 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 6608866320 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2018-07-03 |
| 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 |
2014027230 | MO | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146519 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #11310 | 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 |
| 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 |
| 1962714386 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14400 Clayton Rd, Ballwin, MO 63011-2713 | 2010-07-14 |
| Street Address |
320 E LEXINGTON ST |
| City | RICHMOND |
| State | MO |
| Zip Code | 64085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053854737 | Red Cross Pharmacies | Pharmacy | 320 E Lexington St, Richmond, MO 64085-1837 | 2016-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855027 | Martin Lee Mccrary | Counselor | 108 Wn Main, Richmond, MO 64085 | 2019-01-22 |
| 1265885792 | Special Needs Services of Ray County | Case Manager/Care Coordinator | 810 E Main Street, Richmond, MO 64085 | 2016-07-20 |
| 1669849170 | Sandra Gayle Johnson | Speech-Language Pathologist | 749 Driskill Drive, Richmond, MO 64085 | 2015-09-01 |
| 1114357761 | Duffett Holdings LLC | Pharmacy | 508 Johnny Walker Lane, Suite B, Richmond, MO 64085 | 2013-11-18 |
| 1841319928 | Jeanne M De Motte | Emergency Medicine | 904 Wollard Blvd., Richmond, MO 64085 | 2007-03-28 |
| 1285785022 | Steven Wesley Fawks | Dentist | 205 Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1215088968 | Steven W Fawks Dds PC | Dentist | 205 S Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1891892980 | Ray County Health Department | Public Health or Welfare | 820 East Lexington Street, Richmond, MO 64085 | 2006-09-20 |
| 1275557878 | Jamie Sue Honeycutt | Family Medicine | 420 Wollard Blvd, Richmond, MO 64085 | 2006-07-27 |
| 1700852282 | Bls Inc | Family Medicine | 902 Wollard Blvd, Richmond, MO 64085 | 2006-02-24 |
| Find all providers in zip 64085 | ||||
| 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] |
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| 1770115131 | Eliz Pharmacy LLC | Pharmacy | 7120 Fm 1464 Rd Ste D, Richmond, TX 77407-6400 | 2020-02-04 |
| 1235619123 | Always First Pharmacy LLC | Pharmacy | 8620 Grand Mission Blvd Ste I, Richmond, TX 77407-5419 | 2018-08-20 |
| 1447702626 | Kelcare LLC | Pharmacy | 22001 Southwest Fwy Ste 110, Richmond, TX 77469-7002 | 2016-11-04 |
| 1396136156 | Cz Services Inc | Pharmacy | 860 Harbour Way S Ste E, Richmond, CA 94804-3648 | 2015-02-13 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| 1083999122 | Carters Pharmacy Rx LLC | Pharmacy | 1202 Lark Ln Ste 3, Richmond, TX 77469-7433 | 2011-10-20 |
| 1013227149 | Mariste Pharmaceuticals LLC | Pharmacy | 8710 Grand Mission Blvd Ste H, Richmond, TX 77407-5413 | 2010-10-07 |
| 1497994594 | Riverside Healthcare Services | Pharmacy | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2009-02-12 |
| 1932399383 | South River Compounding Pharmacy West End, Inc. | Pharmacy | 3656 Mayland Ct, Richmond, VA 23233-1409 | 2007-07-31 |
| Find all providers in RICHMOND | ||||
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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.