CVS PHARMACY #05724
NPI 1841399151
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 1841399151. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as CVS Pharmacy #05724.

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

13101 STATE LINE RD, KANSAS CITY, MO 64145(816) 942-2438(816) 942-2473 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cvs Pharmacy #05724 NPPES

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

CVS PHARMACY #05724 (NPI 1841399151) 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

NPI1841399151

Entity TypeOrganization

Primary Taxonomy333600000X

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

Location Address13101 STATE LINE RDKansas City, MO 64145-1650

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146

Phone(816) 942-2438

Fax(816) 942-2473

Organization SubpartNo

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

Enumeration DateSeptember 22, 2006

Last NPPES UpdateFebruary 3, 2015

✔ NPI 1841399151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MO · 2004023132

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

13101 STATE LINE RD, Kansas City, MO 64145

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Other Names 1

Doing Business AsCvs Pharmacy #05724

Other Identifiers 4

Other2635285Other Id Number-commercial Number

Medicare NSC5724300035

Medicaid606103000MO

Medicare PIN9004340

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 5

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.

247 services246 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.

123 services123 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.

114 services114 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05724 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05724

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

✔

Accepts Medicare assignment

CVS Pharmacy #05724 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)20324225

Medicare Participant SinceJanuary 1, 2023

Supplier Location13101 State Line RdKansas City, MO 64145

Phone(816) 942-2438

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 7

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

NATALIE CHRISTINE LICKTEIG FNP-BC

Nurse Practitioner (Family)