CVS PHARMACY #05661
NPI 1033218342
Pharmacy in Belton, MO

Q: What is Missouri CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Missouri CVS Pharmacy, L.L.C. is 1033218342. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as CVS Pharmacy #05661.

Q: What is Missouri CVS Pharmacy, L.L.C.'s specialty?

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

Active since September 22, 2006CLIA 26D2225271 · Waiver

409 E NORTH AVE, BELTON, MO 64012(816) 331-9716(816) 331-0145 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cvs Pharmacy #05661 NPPES

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

CVS PHARMACY #05661 (NPI 1033218342) is a healthcare organization registered as a pharmacy in Belton, Missouri and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Cristiana Mauricio, Mgr Phcy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1033218342

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMISSOURI CVS PHARMACY, L.L.C.

Location Address409 E NORTH AVEBelton, MO 64012-2016

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146

Phone(816) 331-9716

Fax(816) 331-0145

Organization SubpartNo

Authorized OfficialCristiana MauricioMgr Phcy Enrollments · (401) 770-2937

Enumeration DateSeptember 22, 2006

Last NPPES UpdateFebruary 3, 2015

✔ NPI 1033218342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MO · 2004023160

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

409 E NORTH AVE, Belton, MO 64012

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Other Names 1

Doing Business AsCvs Pharmacy #05661

Other Identifiers 5

Medicare PIN9004340

Other2618417Other Id Number-commercial Number

Medicaid600198857MO

Medicare PINP00754562

Medicare NSC5724300047

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 26D2225271

Missouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #05661 · Belton, MO

Active · expires May 19, 2027

CLIA Number26D2225271

Laboratory TypePharmacy

Certificate Effective DateMay 20, 2025

Certificate Expiration DateMay 19, 2027

Laboratory DirectorJacob Lundberg

Laboratory Phone(866) 389-2727

Laboratory LocationMissouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #05661409 E North Ave, Belton, MO 64012

CLIA data matches this NPI record on: Address 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.

85 services83 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.

69 services69 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05661 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05661

DMEPOS supplier · Belton, MOOperated by Missouri CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #05661 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)20323997

Medicare Participant SinceJanuary 1, 2023

Supplier Location409 E North AveBelton, MO 64012

Phone(816) 331-9716

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.

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Other Providers at the Same Location NPPES 5

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

DR. IFEOMA OKEKEARU PHARMD

Pharmacist