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CVS PHARMACY #02363
NPI 1003230335
Pharmacy in Webster Groves, MO

Active since February 06, 2014CLIA 08D2263225 · Waiver
8021 WATSON RD, WEBSTER GROVES, MO 63119(314) 963-0398 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy #02363 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY #02363 (NPI 1003230335) is a healthcare organization registered as a pharmacy in Webster Groves, Missouri and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1003230335
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMISSOURI CVS PHARMACY LLC
Location Address8021 WATSON RDWebster Groves, MO 63119-5304
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146
Phone(314) 963-0398
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateFebruary 6, 2014
Last NPPES UpdateJuly 17, 2014
✔ NPI 1003230335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
8021 WATSON RD, Webster Groves, MO 63119
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Other Names 1

Doing Business AsCvs Pharmacy #02363

Other Identifiers 3

Medicaid1003230335MO
Other2641620Ncpdp
Medicare NSC5724300084

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2263225

Delaware CVS Pharmacy, LLC Dba Cvs/Pharmacy #10376 · Newark, DE
Active · expires Jun 23, 2028
CLIA Number08D2263225
Laboratory TypePharmacy
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorTimothy Keller
Laboratory Phone(401) 765-1500
Laboratory LocationDelaware CVS Pharmacy, LLC Dba Cvs/Pharmacy #10376604 Corner Ketch Rd, Newark, DE 19711
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
145 services145 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
94 services94 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
49 services49 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy# 02363 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy# 02363

DMEPOS supplier · Webster Groves, MOOperated by Missouri CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy# 02363 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20324375
Medicare Participant SinceJanuary 1, 2023
Supplier Location8021 Watson RdWebster Groves, MO 63119
Phone(314) 963-0398
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH SUZAN DYKEMAN FNP-C
Nurse Practitioner (Family)
8021 WATSON RD
WEBSTER GROVES, MO 63119
St. Louis County (866) 389-2727
BROOKE DUMMERTH
Pharmacist
8021 WATSON RD
WEBSTER GROVES, MO 63119
St. Louis County (314) 963-0398
YOSTENA KHALIL
Pharmacist
8021 WATSON RD
WEBSTER GROVES, MO 63119
St. Louis County (314) 963-0398
KATHARINE CLARE STOLL NP
Nurse Practitioner (Family)
8021 WATSON RD
WEBSTER GROVES, MO 63119
St. Louis County (866) 389-2727
DANIELLE MARIE SMITH FNP-C
Nurse Practitioner (Family)
8021 WATSON RD
SAINT LOUIS, MO 63119
St. Louis County (866) 389-2727
QUIANA JACKSON FNP
Nurse Practitioner (Family)
8021 WATSON RD
WEBSTER GROVES, MO 63119
St. Louis County (866) 389-2727
RACHEL WEBB PHARMD
Pharmacist
8021 WATSON RD
SAINT LOUIS, MO 63119
St. Louis County (314) 963-0398

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missouri CVS Pharmacy LLC's NPI number?

The NPI number for Missouri CVS Pharmacy LLC is 1003230335. It was assigned to this organization in the NPPES registry on February 6, 2014. The provider is doing business as CVS Pharmacy #02363.

Where is Missouri CVS Pharmacy LLC located?

Missouri CVS Pharmacy LLC is located at 8021 Watson Rd, Webster Groves, MO 63119. The listed phone number is (314) 963-0398.

What is Missouri CVS Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Missouri CVS Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy# 02363 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Missouri CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2263225) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Missouri CVS Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Missouri CVS Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Missouri CVS Pharmacy LLC was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.