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CVS PHARMACY 08564
NPI 1083658454
Pharmacy in Independence, MO

Active since June 16, 2006CLIA 26D2282511 · Waiver
17301 E US HIGHWAY 24, INDEPENDENCE, MO 64056(816) 796-8769 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy 08564 NPPES

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

CVS PHARMACY 08564 (NPI 1083658454) is a healthcare organization registered as a pharmacy in Independence, Missouri and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1083658454
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMISSOURI CVS PHARMACY LLC
Location Address17301 E US HIGHWAY 24Independence, MO 64056-1807
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(816) 796-8769
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateJune 16, 2006
Last NPPES UpdateFebruary 3, 2015
✔ NPI 1083658454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
17301 E US HIGHWAY 24, Independence, MO 64056
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Other Names 1

Doing Business AsCvs Pharmacy 08564

Other Identifiers 3

Other2636681Other Id Number-commercial Number
Medicare PIN9004340
Medicare NSC5724300005

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 26D2282511

Missouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #10241 · Independence, MO
Active · expires May 22, 2027
CLIA Number26D2282511
Laboratory TypePharmacy
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorAlexander Herndon
Laboratory Phone(866) 389-2727
Laboratory LocationMissouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #102411315 West 23rd St, Independence, MO 64050
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 3

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.
124 services124 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.
92 services92 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.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #10241 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10241

DMEPOS supplier · Independence, MOOperated by Missouri CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #10241 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)20323589
Medicare Participant SinceJanuary 1, 2023
Supplier Location1315 W 23rd StIndependence, MO 64050
Phone(816) 833-8790
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.

Other Providers at the Same Location NPPES 3

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

SARGINE BLAKE
Nurse Practitioner (Family)
17301 E US HIGHWAY 24
INDEPENDENCE, MO 64056
Jackson County (866) 389-2727
FRANCE ORDEUS-PLAISIME
Nurse Practitioner (Family)
17301 E US HIGHWAY 24
INDEPENDENCE, MO 64056
Jackson County (816) 796-8769
LINDSAY FOSTER
Pharmacist
17301 E US HIGHWAY 24
INDEPENDENCE, MO 64056
Jackson County (816) 796-8769

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 1083658454. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as CVS Pharmacy 08564.

Where is Missouri CVS Pharmacy LLC located?

Missouri CVS Pharmacy LLC is located at 17301 E Us Highway 24, Independence, MO 64056. The listed phone number is (816) 796-8769.

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 #10241 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 26D2282511) is associated with this NPI, valid through May 22, 2027. 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 36 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 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.