Missouri Cvs Pharmacy, L.L.C.
Missouri Cvs Pharmacy, L.L.C. is a healthcare organization registered as Community/Retail Pharmacy in Ballwin, MO, holding Type 2 (organization) NPI 1124063144 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
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| NPI | 1124063144 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Missouri Cvs Pharmacy, L.L.C. |
| Other name | <Unavail> |
| Parent organization | Schnuck Markets Inc |
| Practice address | 15425 MANCHESTER RD, Ballwin, MO, 63011 |
| Phone | 6362567922 |
| Fax | 6362566998 |
| Enumeration date | 2006-06-17 |
| Last updated in NPPES | 2020-06-26 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | 004766 | MO |
| 333600000X | Pharmacy | Secondary | 004766 | MO |
| 163WD0400X | Diabetes Educator Registered Nurse | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602902504 | Medicaid | MO | — |
| 2624333 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Missouri Cvs Pharmacy, L.L.C. NPI: 1124063144 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 15425 MANCHESTER RD, Ballwin, MO, 63011
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720063415 | Rene Gassner | Individual | Chiropractor | Ballwin, MO |
| 1033142120 | Rene Gassner Chiropractic PC | Organization | Chiropractor | Ballwin, MO |
| 1326153222 | Scott Schuessler | Individual | Physical Therapist | Manchester, MO |
| 1003940172 | Kelley Mcgaughey | Individual | Physical Therapist | Ballwin, MO |
| 1760669378 | Ashley Mcfadden | Individual | Physical Therapist | Ballwin, MO |
| 1942524087 | Physical Therapy Spine & Sports Medicine LLC | Organization | Rehabilitation Clinic/Center | Ballwin, MO |
| 1386069433 | Ryan Knuckles | Individual | Physical Therapist | Ballwin, MO |
| 1609286525 | Margaret Bauman | Individual | Orthopedic Physical Therapist | Ballwin, MO |
Verify this record
Cross-check NPI 1124063144 against the authoritative CMS record: view Missouri Cvs Pharmacy, L.L.C. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Missouri Cvs Pharmacy, L.L.C.?
Who is the authorized official for Missouri Cvs Pharmacy, L.L.C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-26.