Missouri Cvs Pharmacy, L.L.C.

Missouri Cvs Pharmacy, L.L.C. is a healthcare organization registered as Community/Retail Pharmacy in Ballwin, MO, holding Type 2 (organization) NPI 1619913704 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.

✓ Active NPI ✓ Valid NPI checksum

NPI	1619913704
Entity type	Organization (Type 2)
Legal business name	Missouri Cvs Pharmacy, L.L.C.
Other name	<Unavail>
Practice address	1393 BIG BEND, Ballwin, MO, 63021
Phone	6362254633
Fax	6362254634
Enumeration date	2006-06-20
Last updated in NPPES	2020-06-26

Authorized official

Name	Susan Colbert
Title	Sr. Director, Payer Relations
Phone	4017702751

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
333600000X	Pharmacy	Secondary	005834	MO
261QM2500X	Medical Specialty Clinic/Center	Secondary	—	—
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	005834	MO
163WD0400X	Diabetes Educator Registered Nurse	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
2629890	Other	—	OTHER ID NUMBER-COMMERCIAL NUMBER
600130744	Medicaid	MO	—
000043163	Other	—	PTAN FOR MEDICARE IMMUNIZATIONS

Copy-ready billing details

Provider: Missouri Cvs Pharmacy, L.L.C.
NPI: 1619913704
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1393 BIG BEND, Ballwin, MO, 63021

Verify this record

Cross-check NPI 1619913704 against the authoritative CMS record: view Missouri Cvs Pharmacy, L.L.C. 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

Where is Missouri Cvs Pharmacy, L.L.C. located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-06-26. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-26.