Missouri Cvs Pharmacy LLC

Missouri Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Independence, MO, holding Type 2 (organization) NPI 1396767083 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.

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NPI	1396767083
Entity type	Organization (Type 2)
Legal business name	Missouri Cvs Pharmacy LLC
Other name	<Unavail>
Practice address	17810 E 39TH ST S, Independence, MO, 64055
Phone	8164783645
Fax	8166985620
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
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Secondary	2015043639	MO
333600000X	Pharmacy	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
2048126	Other	—	PK

Copy-ready billing details

Provider: Missouri Cvs Pharmacy LLC
NPI: 1396767083
Taxonomy: 333600000X (Pharmacy)
Address: 17810 E 39TH ST S, Independence, MO, 64055

Providers at this address

NPI	Name	Type	Specialty	Location
1649660143	Kimberly Mcbride	Individual	Pharmacy Technician	Independence, MO

Verify this record

Cross-check NPI 1396767083 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 2016-11-21. Verify at npiregistry.cms.hhs.gov.

Where is Missouri Cvs Pharmacy LLC located?

The practice location on file with NPPES is in Independence, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-21.