CVS PHARMACY #11310 – NPI #1386059533
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.

CVS PHARMACY #11310 is a pharmacy located in RICHMOND, MO. NPPES has assigned the NPI number 1386059533 to CVS PHARMACY #11310 on June 26, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #11310” is a dba name, the actual legal business name for this organization is MISSOURI CVS PHARMACY, L.L.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 8 years ago on Jul 03, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CVS PHARMACY #11310 below.

NPI Profile for
MISSOURI CVS PHARMACY, L.L.C.

NPI Number
1386059533
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISSOURI CVS PHARMACY, L.L.C.
Doing Business As (dba): CVS PHARMACY #11310
Primary location
320 E LEXINGTON ST
RICHMOND, MO 64085
Phone: (816) 776-3315 Fax: (816) 776-2410
Mailing address
1 CVS DRIVE
BOX 1075
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax: (660) 886-6320
Organization Subpart
No
Authorized Official
SUSAN COLBERT
SR. DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751
Updated
Identifiers

Identifiers for CVS PHARMACY #11310

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2146519
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
3336C0003X
- Pharmacy / Community/Retail Pharmacy
MO 2014027230
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.