MEDICARE: MISSOURI CVS PHARMACY, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	2004023149	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2600294	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124127436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSOURI CVS PHARMACY, L.L.C.

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7107 N OAK TRFY
Second Line	:
City	:	GLADSTONE
State	:	MO
Zip	:	64118-2514
Country	:	US
Telephone Number	:	816-436-3200
Fax Number	:	816-468-6269

Authorized Official
Title or Position	:	DIRECTOR, PAYER RELATIONS
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	02/03/2015

Similar Medicare Providers

1285040972 — DR. GARRET THOMAS COCHRAN DDS
Practice Location Address:

7101 N OAK TRFY
GLADSTONE, MO
64118-2514

Practice Phone: 816-436-2150
Practice Fax:

1225447667 — DR. DOUGLAS J. COCHRAN D.D.S. P.C.
Practice Location Address:

7101 N OAK TRFY
GLADSTONE, MO
64118-2514

Practice Phone: 816-436-2150
Practice Fax: 816-436-2083

1104421163 — CRAIG KNOEBER PHARMD
Practice Location Address:

7107 N OAK TRFY
GLADSTONE, MO
64118-2514

Practice Phone: 816-436-3200
Practice Fax:

1972108892 — AUSTIN RANDAL LINDSAY PHARM.D
Practice Location Address:

7107 N OAK TRFY
GLADSTONE, MO
64118-2514

Practice Phone: 816-436-3200
Practice Fax: 816-468-6269

1265469753 — DR. DOUGLAS JAMES COCHRAN D.D.S.
Practice Location Address:

7101 N OAK TRFY
KANSAS CITY, MO
64118-2514

Practice Phone: 816-436-2150
Practice Fax:

1326828328 — LYDIA BRAUN PHARMD
Practice Location Address:

7107 N OAK TRFY
KANSAS CITY, MO
64118-2514

Practice Phone: 816-436-3200
Practice Fax: 816-468-6269

Directions to “MISSOURI CVS PHARMACY, L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.