Missouri CVS Pharmacy LLC
NPI 1730474230ActiveOrganization· Pharmacy· Saint Joseph, MO
Pharmacy in Saint Joseph, Missouri, registered in NPPES in June 2011. The authorized official on file is Susan Colbert, Director. Medicare paid $95,921 for services to 402 patients in 2024.
Overview
| NPI | 1730474230 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2011 |
| Last updated in NPPES | Dec 12, 2011 |
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 · 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 | 402 |
|---|---|
| Services billed | 1,258 across 12 procedure codes |
| Paid by Medicare | $95,921 |
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