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CVS PHARMACY #17887
NPI 1073361952
Pharmacy in Saint Louis, MO

Active since May 07, 2024
900 S GRAND BLVD, SAINT LOUIS, MO 63103(314) 405-6996 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2024, May 7, 2024 (2 updates tracked since 2024).

About Cvs Pharmacy #17887 NPPES

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

CVS PHARMACY #17887 (NPI 1073361952) is a healthcare organization registered as a pharmacy in Saint Louis, Missouri and active in the NPI registry since May 2024. The organization lists Susan F Colbert, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1073361952
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMISSOURI CVS PHARMACY LLC
Location Address900 S GRAND BLVDSaint Louis, MO 63103-2918
Mailing Address1 Cvs Dr # 1075Woonsocket, RI 02895 · (401) 765-1500
Phone(314) 405-6996
Organization SubpartNo
Authorized OfficialSusan F ColbertSr Director · (401) 765-1500
Enumeration DateMay 7, 2024
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1073361952 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
900 S GRAND BLVD, Saint Louis, MO 63103
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Other Names 1

Doing Business AsCvs Pharmacy #17887

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 ›

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #17887 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17887

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

Accepts Medicare assignment

CVS Pharmacy #17887 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)34358630
Medicare Participant SinceJanuary 1, 2023
Supplier Location900 S Grand BlvdSaint Louis, MO 63103
Phone(314) 405-6996
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1073361952. It was assigned to this organization in the NPPES registry on May 7, 2024. The provider is doing business as CVS Pharmacy #17887.

Where is Missouri CVS Pharmacy LLC located?

Missouri CVS Pharmacy LLC is located at 900 S Grand Blvd, Saint Louis, MO 63103. The listed phone number is (314) 405-6996.

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 #17887 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.