Missouri Cvs Pharmacy LLC
Missouri Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Ballwin, MO, holding Type 2 (organization) NPI 1316969017 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1316969017 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Missouri Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 15025 MANCHESTER RD, Ballwin, MO, 63011 |
| Phone | 6362279436 |
| Fax | 6368931302 |
| Enumeration date | 2006-07-24 |
| Last updated in NPPES | 2016-11-21 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | 2015043659 | MO |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048880 | Other | — | PK |
Copy-ready billing details
Provider: Missouri Cvs Pharmacy LLC NPI: 1316969017 Taxonomy: 333600000X (Pharmacy) Address: 15025 MANCHESTER RD, Ballwin, MO, 63011
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245525195 | Julie Nack | Individual | Pharmacist | Ballwin, MO |
| 1700276938 | Jason Watts | Individual | Pharmacist | Ballwin, MO |
| 1336535392 | Kyle Brennan | Individual | Pharmacist | Ballwin, MO |
| 1437740032 | Juli Sellars | Individual | Registered Nurse | Ballwin, MO |
| 1386361038 | Elizabeth Cano | Individual | Pharmacist | Ballwin, MO |
| 1710690573 | Sameera Surapaneni | Individual | Pharmacist | Ballwin, MO |
Verify this record
Cross-check NPI 1316969017 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?
Where is Missouri Cvs Pharmacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2016-11-21.