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Missouri Cvs Pharmacy, L.L.C.

Community/Retail Pharmacy in Jefferson City, 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

1750317335

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Registry record

Entity type Organization (Type 2)
Legal business name Missouri Cvs Pharmacy, L.L.C.
Other name <Unavail>
Practice address 1801 Missouri Blvd, Jefferson City, MO, 65109
Fax (573) 685-8407
Enumeration date Jun 24, 2006
Last updated in NPPES Aug 5, 2020

Taxonomy & classification

163WD0400X Diabetes Educator Registered Nurse Nursing Service Providers Secondary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 2002019123 (MO) Secondary
333600000X Pharmacy Suppliers · License 2002019123 (MO) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Susan Colbert
Title Sr. Director, Payer Relations

Other identifiers

Identifier Type State Issuer
605867803 Medicaid MO -
2634637 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

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 2020-08-05. Verify at npiregistry.cms.hhs.gov.
Where is Missouri Cvs Pharmacy, L.L.C. located?
The practice location on file with NPPES is in Jefferson City, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-05.