Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Missouri Cvs Pharmacy, LLC

Organization Diabetes Educator Registered Nurse · NPI 1083640338

Missouri Cvs Pharmacy, LLC is a Diabetes Educator Registered Nurse in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3430 S Grand Blvd
Saint Louis, MO 63118-1004
Phone: (314) 772-5722
Fax: (314) 865-4897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Diabetes Educator Registered Nurse Taxonomy 163WD0400X
Medical Specialty Clinic/Center Taxonomy 261QM2500X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 005098 (MO)
Pharmacy Taxonomy 333600000X · Licence 005098 (MO)

Record details

NPI number1083640338
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSchnuck Markets Inc
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #18029; Schnucks Pharmacy; Schnucks Pharmacy
NPI enumeratedJune 25, 2006
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020
Mailing address1 Cvs Dr # 1075, Woonsocket, RI 02895-6146

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