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Missouri Cvs Pharmacy LLC

Pharmacy in Poplar Bluff, MO · enumerated 2013 · authorized official Susan Colbert, Director.

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

National Provider Identifier

1679906226

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Registry record

Entity type Organization (Type 2)
Legal business name Missouri Cvs Pharmacy LLC
Other name <Unavail>
Practice address 225 N Westwood Blvd, Poplar Bluff, MO, 63901
Phone (573) 785-7582
Enumeration date Aug 19, 2013
Last updated in NPPES Mar 31, 2015

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Colbert
Title Director
Phone (401) 765-1500

Other identifiers

Identifier Type State Issuer
205009407 Medicaid AR -
2641353 Other MO NCPDP
1679906226 Medicaid MO -
206464716 Other AR DME

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

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).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-31.