Missouri CVS Pharmacy, L.L.C.
NPI 1124127436ActiveOrganization· Pharmacy· Gladstone, MO
Pharmacy in Gladstone, Missouri, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $54,483 for services to 221 patients in 2024.
Overview
| NPI | 1124127436 |
|---|---|
| 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 | 2004023149 | MO |
| 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 | 221 |
|---|---|
| Services billed | 700 across 10 procedure codes |
| Paid by Medicare | $54,483 |
Other Pharmacy providers in Gladstone
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