Missouri CVS Pharmacy, L.L.C.
NPI 1265769087ActiveOrganization· Pharmacy· Saint Louis, MO
Pharmacy in Saint Louis, Missouri, registered in NPPES in November 2009. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $49,014 for services to 192 patients in 2024.
Overview
| NPI | 1265769087 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2009 |
| Last updated in NPPES | Oct 31, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
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 | 192 |
|---|---|
| Services billed | 630 across 12 procedure codes |
| Paid by Medicare | $49,014 |
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