CVS PHARMACY # 05663
NPI 1679672984
Pharmacy in Kansas City, MO

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

The NPI number for Missouri CVS Pharmacy, L.L.C. is 1679672984. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as CVS Pharmacy # 05663.

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, 2006

6244 BROOKSIDE BLVD, KANSAS CITY, MO 64113(816) 444-0444(816) 361-5305 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cvs Pharmacy # 05663 NPPES

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

CVS PHARMACY # 05663 (NPI 1679672984) is a healthcare organization registered as a pharmacy in Kansas City, Missouri and active in the NPI registry since September 2006. The organization lists Cristiana Mauricio, Mgr Phcy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1679672984

Entity TypeOrganization

Primary Taxonomy333600000X

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

Location Address6244 BROOKSIDE BLVDKansas City, MO 64113-1630

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

Phone(816) 444-0444

Fax(816) 361-5305

Organization SubpartNo

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

Enumeration DateSeptember 22, 2006

Last NPPES UpdateFebruary 3, 2015

✔ NPI 1679672984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MO · 2004023144

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

6244 BROOKSIDE BLVD, Kansas City, MO 64113

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Other Names 1

Doing Business AsCvs Pharmacy # 05663

Other Identifiers 4

Medicaid600130900MO

Medicare NSC5724300040

Medicare PIN9004340

Other2630487Other Id Number-commercial Number

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 8

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.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034

This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.

946 services120 patients

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.

500 services498 patients

Fee covid-19 vac 13 res 0124A

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

449 services449 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.

441 services439 patients

Adm sarscv2 30mcg trs-sucr 1 0051A

This is a procedure for administering the SARS-CoV-2 vaccine. The "30mcg" refers to the dosage of the vaccine, and "trs-sucr" is a component in the vaccine. The vaccine helps your body develop immunity to the COVID-19 virus to prevent illness.

185 services185 patients

Adm sarscv2 30mcg trs-sucr b 0054A

This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.

53 services53 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05663 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05663

DMEPOS supplier · Kansas City, MOOperated by Missouri CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #05663 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)20324105

Medicare Participant SinceJanuary 1, 2023

Supplier Location6244 Brookside BlvdKansas City, MO 64113

Phone(816) 444-0444

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 4

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

SHANE KOZLOWSKI PHARMD

Pharmacist

6244 BROOKSIDE BLVD
KANSAS CITY, MO 64113

Jackson County (816) 444-0444

PAUL LAIR PHARM.D.

Pharmacist

6244 BROOKSIDE BLVD
KANSAS CITY, MO 64113

Jackson County (816) 444-0444

GABRIEL THOMAS KIMBROUGH PHARMD

Pharmacist

6244 BROOKSIDE BLVD
KANSAS CITY, MO 64113

Jackson County (816) 444-0444

NATHAN KALWEI PHARM.D

Pharmacist

6244 BROOKSIDE BLVD
KANSAS CITY, MO 64113

Jackson County (816) 444-0444

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, L.L.C.'s NPI number?

The NPI number for Missouri CVS Pharmacy, L.L.C. is 1679672984. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as CVS Pharmacy # 05663.

Where is Missouri CVS Pharmacy, L.L.C. located?

Missouri CVS Pharmacy, L.L.C. is located at 6244 Brookside Blvd, Kansas City, MO 64113. The listed phone number is (816) 444-0444.

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

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

Does Missouri CVS Pharmacy, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #05663 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, L.L.C. 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, L.L.C. 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, L.L.C. was last updated on February 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.