MISSOURI CVS PHARMACY LLC (NPI# 1679595367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679595367 |
| Entity Type | Organization |
| Organization Name | MISSOURI CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16476 |
| Practice Address |
25 Brentwood Promenade Ct Brentwood MO 63144-1428 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3149181939 |
| Practice Fax Number | 3148173552 |
| 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 |
2015043675 | MO | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2048049 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16476 | 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 |
25 BRENTWOOD PROMENADE CT |
| City | BRENTWOOD |
| State | MO |
| Zip Code | 63144-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023596558 | Katie Marlene Davis | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2018-08-06 |
| 1497270086 | Kyle John Dreier | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144 | 2017-08-04 |
| 1154773638 | Andrew Steppleman | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2016-07-07 |
| 1184008385 | Brittney Dreier | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2015-07-17 |
| 1376894329 | Ashley Erwin | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2012-09-29 |
| 1053698548 | Sara C Kamalay | Pharmacist | 25 Brentwood Promenade Ct, T-1102, Brentwood, MO 63144-1428 | 2011-11-10 |
| 1518243492 | Krista Danielle Brown | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2011-10-24 |
| 1306126438 | Szehon Samuel Li | Pharmacist | 25 Brentwood Promenade Ct, T1102, Brentwood, MO 63144-1428 | 2011-08-20 |
| 1710271978 | Nicholas Ross Dryer | Pharmacist | 25 Brentwood Promenade Ct, T-1102, Brentwood, MO 63144-1428 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| 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 |
|---|---|---|---|---|
| 1316311418 | Inception Rx | Pharmacy | 343 Franklin Road Suite 200, Brentwood, TN 37027-4637 | 2015-11-30 |
| 1487045159 | Argus Health Systems | Pharmacy | 1107 Haverhill Dr, Brentwood, TN 37027-8682 | 2015-02-16 |
| 1023422813 | Golden Pharmaceutical Inc | Pharmacy | 1077 Suffolk Ave, Brentwood, NY 11717-4503 | 2014-06-19 |
| 1255352225 | Rubok Inc | Pharmacy | 128 Clarke St, Brentwood, NY 11717-2042 | 2006-07-22 |
| 1265463079 | Safeway Inc | Pharmacy | 3110 Balfour Rd, Brentwood, CA 94513-5500 | 2006-07-06 |
| 1497792824 | Lucky Stores II LLC | Pharmacy | 4461 Balfour Rd, Brentwood, CA 94513-1557 | 2006-06-02 |
| 1891243010 | William P. Hudson | Pharmacy | 1107 Haverhill Dr, Brentwood, TN 37027-8682 | 2016-09-16 |
| 1245603349 | Nitya Pharmacy LLC | Pharmacy | 753 Commack Rd, Brentwood, NY 11717-7407 | 2015-11-11 |
| 1689988560 | Patient Information Logistics, LLC | Pharmacy | 8 Cadillac Dr, Suite 450, Brentwood, TN 37027-5087 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506437 | E Health Pharmacy, LLC | Pharmacy | 411d Northview Rd, Nixa, MO 65714-8679 | 2020-10-26 |
| 1750994869 | Script Partner Pharmacy LLC | Pharmacy | 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 | 2020-08-28 |
| 1821600545 | Debbie S Pharmacy LLC | Pharmacy | 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 | 2020-08-24 |
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1427606912 | Medley Pharmacy Inc | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-08-28 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
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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.