MISSOURI CVS PHARMACY, L.L.C. (NPI# 1407251069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407251069 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY, L.L.C. |
| Other Organization Name | SCHNUCKS PHARMACY743 |
| Practice Address |
942 Valley Creek Dr Farmington MO 63640-1968 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5736645202 |
| Practice Fax Number | 5736645203 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2020-06-26 |
| 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 | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | MO | Suppliers | |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MO | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #18094 | Doing Business As Name - Organization |
| Schnucks Pharmacy743 | 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 |
| 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 |
| 1962714386 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14400 Clayton Rd, Ballwin, MO 63011-2713 | 2010-07-14 |
| Street Address |
942 VALLEY CREEK DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811473440 | Brianna Finch | Pharmacist | 942 Valley Creek Dr, Farmington, MO 63640-1968 | 2018-07-17 |
| 1427534361 | Mary Louise Hillestad | Pharmacist | 942 Valley Creek Dr, Farmington, MO 63640-1968 | 2018-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1033749395 | Cod Management LLC | Pharmacy | 23133 Orchard Lake Rd Ste 101, Farmington, MI 48336-3278 | 2020-01-24 |
| 1629551759 | Uconn Health Pharmacy Services Inc | Pharmacy | 270 Farmington Ave Ste 108, Farmington, CT 06032-1965 | 2018-09-14 |
| 1053801340 | Mears Pharmacy | Pharmacy | 1050 Shepard Ln Ste 1, Farmington, UT 84025-2716 | 2018-05-13 |
| 1669985396 | Pharmingtonrx, LLC | Pharmacy | 806 Valley Creek Dr, Farmington, MO 63640-1969 | 2017-11-16 |
| 1811313216 | Jill's Genuine Care Pharmacy, LLC | Pharmacy | 23354 Farmington Rd, Farmington, MI 48336-3102 | 2014-03-10 |
| 1326463936 | Four Corners Compounding | Pharmacy | 2300 E 30th St Ste B-101, Farmington, NM 87401-8991 | 2014-02-19 |
| 1205000601 | Dalco, Inc. | Pharmacy | 120 E Karsch Blvd, Farmington, MO 63640-1238 | 2008-04-16 |
| 1164585469 | Farmington Drug | Pharmacy | 507 E 20th St, Farmington, NM 87401-2105 | 2006-12-18 |
| 1154433084 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 23391 Farmington Rd, Farmington, MI 48336-3103 | 2006-08-31 |
| 1710993118 | Walgreen Co | Pharmacy | 4221 E Main St, Farmington, NM 87402-8637 | 2006-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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.