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

Missouri Cvs Pharmacy, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1093163792

Missouri Cvs Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Florissant, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
Specialties on file
3
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

696-698 N Hwy 67 St
Florissant, MO 63031-5106
Phone: (314) 830-7881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X (MO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (MO)
Community/Retail Pharmacy Taxonomy 3336C0003X (MO)

Record details

NPI number1093163792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr Director, Payer Relations · (401) 765-1500
Other names Cvs Pharmacy # 10171; Cvs Pharmacy # 10171
NPI enumeratedJune 3, 2016
Last updated in NPPESFebruary 1, 2021
Certification dateJanuary 29, 2021
Mailing address1 Cvs Dr, Box 1075, Woonsocket, RI 02895-6146

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