Missouri CVS Pharmacy LLC
NPI 1538100433ActiveOrganization· Pharmacy· Kansas City, MO
Pharmacy in Kansas City, Missouri, registered in NPPES in June 2006. The authorized official on file is Cristiana Mauricio, Manager Pharmacy Enrollments. Medicare paid $75,625 for services to 293 patients in 2024.
Overview
| NPI | 1538100433 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2006 |
| Last updated in NPPES | Feb 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| 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 | 293 |
|---|---|
| Services billed | 940 across 12 procedure codes |
| Paid by Medicare | $75,625 |
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