Missouri CVS Pharmacy, L.L.C.
NPI 1114026424ActiveOrganization· Pharmacy· Saint Joseph, MO
Pharmacy in Saint Joseph, Missouri, registered in NPPES in September 2006. The authorized official on file is Cristiana Mauricio, Mgr Phcy Enrollments. Medicare paid $128,548 for services to 505 patients in 2024.
Overview
| NPI | 1114026424 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2006 |
| Last updated in NPPES | Feb 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 2004023122 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 505 |
|---|---|
| Services billed | 1,704 across 13 procedure codes |
| Paid by Medicare | $128,548 |
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