MISSOURI CVS PHARMACY LLC
NPI 1205400082
Pharmacy in Columbia, MO

Q: What is Missouri CVS Pharmacy LLC's NPI number?

The NPI number for Missouri CVS Pharmacy LLC is 1205400082. It was assigned to this organization in the NPPES registry on May 17, 2021. The provider is doing business as CVS Pharmacy #18100.

Q: What is Missouri CVS Pharmacy LLC's specialty?

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

Active since May 17, 2021

5410 CLARK LANE, COLUMBIA, MO 65202(401) 765-1500 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Missouri Cvs Pharmacy Llc NPPES

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

MISSOURI CVS PHARMACY LLC (NPI 1205400082), doing business as Cvs Pharmacy #18100, is a healthcare organization registered as a pharmacy in Columbia, Missouri and active in the NPI registry since May 2021. The organization lists Susan F Colbert, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1205400082

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMISSOURI CVS PHARMACY LLC

Location Address5410 CLARK LANEColumbia, MO 65202

Mailing Address1 Cvs Dr # 1075Woonsocket, RI 02895-6146 · (401) 765-1500

Phone(401) 765-1500

Organization SubpartNo

Authorized OfficialSusan F ColbertSr Director · (401) 770-2751

Enumeration DateMay 17, 2021

NPPES CertifiedApril 21, 2021

✔ NPI 1205400082 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

5410 CLARK LANE, Columbia, MO 65202

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Other Names 1

Doing Business AsCvs Pharmacy #18100

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 ›

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.

120 services120 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.

89 services89 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.

27 services27 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #18100 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #18100

DMEPOS supplier · Columbia, MOOperated by Missouri CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #18100 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)20322515

Medicare Participant SinceJanuary 1, 2023

Supplier Location5410 Clark LnColumbia, MO 65202

Phone(573) 514-6227

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 1205400082. It was assigned to this organization in the NPPES registry on May 17, 2021. The provider is doing business as CVS Pharmacy #18100.

Where is Missouri CVS Pharmacy LLC located?

Missouri CVS Pharmacy LLC is located at 5410 Clark Lane, Columbia, MO 65202. The listed phone number is (401) 765-1500.

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 #18100 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 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 May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.