Missouri CVS Pharmacy LLC
NPI 1629239975ActiveOrganization· Pharmacy· Chesterfield, MO
Pharmacy in Chesterfield, Missouri, registered in NPPES in June 2008. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $122,171 for services to 464 patients in 2024.
Overview
| NPI | 1629239975 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2008 |
| 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 | 2008015193 | MO |
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 | 464 |
|---|---|
| Services billed | 1,546 across 11 procedure codes |
| Paid by Medicare | $122,171 |
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