Missouri Cvs Pharmacy, L.L.C.
Missouri Cvs Pharmacy, L.L.C. is a healthcare organization registered as Pharmacy in Gladstone, MO, holding Type 2 (organization) NPI 1124127436 since 2006. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124127436 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Missouri Cvs Pharmacy, L.L.C. |
| Other name | <Unavail> |
| Practice address | 7107 N OAK TRFY, Gladstone, MO, 64118 |
| Phone | 8164363200 |
| Fax | 8164686269 |
| Enumeration date | 2006-09-22 |
| Last updated in NPPES | 2015-02-03 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 2004023149 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2600294 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 600198824 | Medicaid | MO | — |
Copy-ready billing details
Provider: Missouri Cvs Pharmacy, L.L.C. NPI: 1124127436 Taxonomy: 333600000X (Pharmacy) Address: 7107 N OAK TRFY, Gladstone, MO, 64118
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104421163 | Craig Knoeber | Individual | Pharmacist | Gladstone, MO |
| 1972108892 | Austin Lindsay | Individual | Pharmacy | Gladstone, MO |
| 1326828328 | Lydia Braun | Individual | Pharmacist | Kansas City, MO |
Verify this record
Cross-check NPI 1124127436 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 a Type 2 NPI?
What type of organization is Missouri Cvs Pharmacy, L.L.C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-02-03.