Missouri Cvs Pharmacy LLC
Missouri Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Nixa, MO, holding Type 2 (organization) NPI 1902144306 since 2013. The authorized official on file is Susan Colbert, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902144306 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Missouri Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 501 W MOUNT VERNON ST, Nixa, MO, 65714 |
| Phone | 4177248409 |
| Enumeration date | 2013-01-21 |
| Last updated in NPPES | 2013-06-18 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director |
| Phone | 4017651500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2640882 | Other | — | NCPDP |
| 1902144306 | Medicaid | NE | — |
Copy-ready billing details
Provider: Missouri Cvs Pharmacy LLC NPI: 1902144306 Taxonomy: 333600000X (Pharmacy) Address: 501 W MOUNT VERNON ST, Nixa, MO, 65714
Verify this record
Cross-check NPI 1902144306 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
What is the NPI number for Missouri Cvs Pharmacy LLC?
Who is the authorized official for Missouri Cvs Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-06-18.