1. Home
  2. Directory
  3. Missouri
  4. Saint Peters
  5. Pharmacy
  6. NPI Profile

CVS PHARMACY# 10418
NPI 1003282138
Pharmacy in Saint Peters, MO

Active since August 12, 2015CLIA Certified · 2 labs
200 JUNGERMANN RD, SAINT PETERS, MO 63376(636) 922-9019 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2016, Jan 13, 2016, Dec 23, 2015 and 1 more (4 updates tracked since 2015).

About Cvs Pharmacy# 10418 NPPES

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

CVS PHARMACY# 10418 (NPI 1003282138) is a healthcare organization registered as a pharmacy in Saint Peters, Missouri and active in the NPI registry since August 2015. The organization holds 2 active CLIA laboratory certificates and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1003282138
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMISSOURI CVS PHARMACY LLC
Location Address200 JUNGERMANN RDSaint Peters, MO 63376-5347
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146
Phone(636) 922-9019
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateAugust 12, 2015
Last NPPES UpdateFebruary 12, 20164 updates tracked since enumeration
✔ NPI 1003282138 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
200 JUNGERMANN RD, Saint Peters, MO 63376
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy# 10418

Other Identifiers 4

Medicare PIN9004340
Other2642785MO · Ncpdp
Medicare NSC5724300094MO
Medicaid1003282138MO

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 2

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 26D2226032

Missouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #10418 · Saint Peters, MO
Active · expires May 25, 2027
CLIA Number26D2226032
Laboratory TypePharmacy
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorChristine Adams
Laboratory Phone(866) 389-2727
Laboratory LocationMissouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #10418200 Jungermann Rd, Saint Peters, MO 63376
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2225344

Missouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #6282 · Saint Peters, MO
Active · expires May 19, 2027
CLIA Number26D2225344
Laboratory TypePharmacy
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorBrittney Keller
Laboratory Phone(866) 389-2727
Laboratory LocationMissouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #62821749 Woodstone Dr, Saint Peters, MO 63376
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
150 services149 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.
135 services135 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #18026 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #18026

DMEPOS supplier · Saint Peters, MOOperated by Missouri CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #18026 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)20322413
Medicare Participant SinceJanuary 1, 2023
Supplier Location48 Plaza 94Saint Peters, MO 63376
Phone(636) 928-1625
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 2

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

ARMON MEISSAMI VAKIL PHARMD
Pharmacist
200 JUNGERMANN RD
SAINT PETERS, MO 63376
St. Charles County (636) 922-9019
ASHLEY R YOUNG CPHT
Pharmacy Technician
200 JUNGERMANN RD
SAINT PETERS, MO 63376
St. Charles County (636) 922-9019

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 1003282138. It was assigned to this organization in the NPPES registry on August 12, 2015. The provider is doing business as CVS Pharmacy# 10418.

Where is Missouri CVS Pharmacy LLC located?

Missouri CVS Pharmacy LLC is located at 200 Jungermann Rd, Saint Peters, MO 63376. The listed phone number is (636) 922-9019.

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 #18026 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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.