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Missouri Cvs Pharmacy LLC

Missouri Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Gladstone, MO, holding Type 2 (organization) NPI 1205871209 since 2006. The authorized official on file is Susan Colbert, Director.

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NPI 1205871209
Entity type Organization (Type 2)
Legal business name Missouri Cvs Pharmacy LLC
Other name <Unavail>
Practice address 6129 NE ANTIOCH RD, Gladstone, MO, 64119
Phone 8164532220
Enumeration date 2006-06-17
Last updated in NPPES 2018-10-30

Authorized official

Name Susan Colbert
Title Director
Phone 4017651500

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
3336C0003X Community/Retail Pharmacy Secondary
333600000X Pharmacy Primary

Other identifiers

Identifier Type State Issuer
2636782 Other OTHER ID NUMBER-COMMERCIAL NUMBER
Copy-ready billing details
Provider: Missouri Cvs Pharmacy LLC
NPI: 1205871209
Taxonomy: 333600000X (Pharmacy)
Address: 6129 NE ANTIOCH RD, Gladstone, MO, 64119

Providers at this address

NPI Name Type Specialty Location
1083217418 Alexander Schmuke Individual Pharmacist Gladstone, MO
1376147215 Amanda Voigt Individual Pharmacist Gladstone, MO

Verify this record

Cross-check NPI 1205871209 against the authoritative CMS record: view Missouri Cvs Pharmacy LLC 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-10-30. Verify at npiregistry.cms.hhs.gov.
Where is Missouri Cvs Pharmacy LLC located?
The practice location on file with NPPES is in Gladstone, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-10-30.