Missouri CVS Pharmacy LLC
NPI 1982870473ActiveOrganization· Pharmacy· Lees Summit, MO
Pharmacy in Lees Summit, Missouri, registered in NPPES in May 2008. The authorized official on file is Cristiana M. Mauricio, Mgr Phcy Enrollments. Medicare paid $33,252 for services to 128 patients in 2024.
Overview
| NPI | 1982870473 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2008 |
| Last updated in NPPES | Feb 3, 2015 |
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 | 128 |
|---|---|
| Services billed | 416 across 11 procedure codes |
| Paid by Medicare | $33,252 |
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