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Missouri Cvs Pharmacy LLC

Missouri Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Maplewood, MO, holding Type 2 (organization) NPI 1306194220 since 2012. The authorized official on file is Susan Colbert, Director.

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NPI 1306194220
Entity type Organization (Type 2)
Legal business name Missouri Cvs Pharmacy LLC
Other name <Unavail>
Practice address 7470 MANCHESTER RD, Maplewood, MO, 63143
Phone 3146468037
Enumeration date 2012-08-27
Last updated in NPPES 2013-01-28

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
1306194220 Medicaid MO
2640440 Other NCPDP
Copy-ready billing details
Provider: Missouri Cvs Pharmacy LLC
NPI: 1306194220
Taxonomy: 333600000X (Pharmacy)
Address: 7470 MANCHESTER RD, Maplewood, MO, 63143

Providers at this address

NPI Name Type Specialty Location
1346843463 Brianna Flanigan Individual Pharmacist Maplewood, MO
1932702859 Jerrett Marcuson Individual Pharmacist Maplewood, MO
1265155998 Brenden Wright Individual Pharmacist Saint Louis, MO

Verify this record

Cross-check NPI 1306194220 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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Missouri Cvs Pharmacy LLC?
Missouri Cvs Pharmacy LLC is registered in NPPES as a Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-01-28.