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CVS PHARMACY #17410
NPI 1609060789
Pharmacy in Wentzville, MO

Active since August 31, 2007CLIA 26D2225962 · Waiver
1883 WENTZVILLE PKWY, WENTZVILLE, MO 63385(636) 639-7434(636) 639-7444 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2016, Sep 30, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Cvs Pharmacy #17410 NPPES

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

CVS PHARMACY #17410 (NPI 1609060789) is a healthcare organization registered as a pharmacy in Wentzville, Missouri and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1609060789
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMISSOURI CVS PHARMACY LLC
Location Address1883 WENTZVILLE PKWYWentzville, MO 63385-3896
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(636) 639-7434
Fax(636) 639-7444
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateAugust 31, 2007
Last NPPES UpdateNovember 21, 20163 updates tracked since enumeration
✔ NPI 1609060789 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 · License 2007029735 (MO)
1883 WENTZVILLE PKWY, Wentzville, MO 63385
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Other Names 1

Doing Business AsCvs Pharmacy #17410

Other Identifiers 2

Medicare NSC5724300119
Other2049569Pk

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 26D2225962

Missouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #10193 · Wentzville, MO
Active · expires May 24, 2027
CLIA Number26D2225962
Laboratory TypePharmacy
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorMelody Staiger
Laboratory Phone(866) 389-2727
Laboratory LocationMissouri CVS Pharmacy, LLC Dba Cvs/Pharmacy #101931550 Wentzville Parkway, Wentzville, MO 63385
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.
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.
108 services108 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17410 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17410

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

Accepts Medicare assignment

CVS Pharmacy #17410 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)20322287
Medicare Participant SinceJanuary 1, 2023
Supplier Location1883 Wentzville PkwyWentzville, MO 63385
Phone(636) 639-7434
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 5

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

LESLIE ALBERT PRICE RPH
Pharmacist
1883 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (636) 639-7434
DR. ADAM L MCINTOSH PHARM.D.
Pharmacist
1883 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (636) 639-7494
MEGHAN NICOLE KOHLER PHARMD
Pharmacist
1883 WENTZVILLE PKWY, T-2345
WENTZVILLE, MO 63385
St. Charles County (636) 639-7434
FARHAD J KHAVE RPH
Pharmacist
1883 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (636) 639-7434
MR. STEVEN MATTHEW FINE RPH
Pharmacist
1883 WENTZVILLE PKWY, T-2345
WENTZVILLE, MO 63385
St. Charles County (636) 639-7434

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 1609060789. It was assigned to this organization in the NPPES registry on August 31, 2007. The provider is doing business as CVS Pharmacy #17410.

Where is Missouri CVS Pharmacy LLC located?

Missouri CVS Pharmacy LLC is located at 1883 Wentzville Pkwy, Wentzville, MO 63385. The listed phone number is (636) 639-7434.

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 #17410 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 26D2225962) is associated with this NPI, valid through May 24, 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 November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.