Missouri CVS Pharmacy LLC
NPI 1265711055ActiveOrganization· Pharmacy· Saint Peters, MO
Pharmacy in Saint Peters, Missouri, registered in NPPES in August 2011. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $35,409 for services to 153 patients in 2024.
Overview
| NPI | 1265711055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2011 |
| Last updated in NPPES | Nov 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 2011032587 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 153 |
|---|---|
| Services billed | 464 across 10 procedure codes |
| Paid by Medicare | $35,409 |
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