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Missouri Cvs Pharmacy LLC

Pharmacy in Saint Louis, MO · enumerated 2006 · authorized official Susan Colbert, Sr. Director, Payer Relations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407878101

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Missouri Cvs Pharmacy LLC
Other name <Unavail>
Practice address 4250 Rusty Rd, Saint Louis, MO, 63128
Phone (314) 892-6428
Fax (314) 892-6428
Enumeration date Jul 24, 2006
Last updated in NPPES Sep 30, 2016

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers · License 2015043656 (MO) Secondary

Authorized official

Name Susan Colbert
Title Sr. Director, Payer Relations
Phone (401) 770-2751

Other identifiers

Identifier Type State Issuer
2048825 Other - PK

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.

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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 2016-09-30. Verify at npiregistry.cms.hhs.gov.
Where is Missouri Cvs Pharmacy LLC located?
The practice location on file with NPPES is in Saint Louis, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-30.