Missouri CVS Pharmacy LLC
NPI 1790729168ActiveOrganization· 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 $35,201 for services to 175 patients in 2024.
Overview
| NPI | 1790729168 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 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 · 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 | 175 |
|---|---|
| Services billed | 470 across 11 procedure codes |
| Paid by Medicare | $35,201 |
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