Missouri CVS Pharmacy, L.L.C.
NPI 1588764922ActiveOrganization· Pharmacy· Kansas City, MO
Pharmacy in Kansas City, Missouri, registered in NPPES in September 2006. The authorized official on file is Cristiana Mauricio, Mgr Phcy Enrollments. Medicare paid $38,370 for services to 148 patients in 2024.
Overview
| NPI | 1588764922 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Feb 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 2004023129 | MO |
| 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 | 148 |
|---|---|
| Services billed | 474 across 9 procedure codes |
| Paid by Medicare | $38,370 |
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