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

Missouri Cvs Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1194767384

Missouri Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

735 W Stadium Blvd
Jefferson City, MO 65109-4753
Phone: (573) 893-1079
Fax: (573) 658-9385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 2006020283 (MO)

Record details

NPI number1194767384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #16228
NPI enumeratedJune 12, 2006
Last updated in NPPESNovember 21, 2016
Mailing address1 Cvs Dr, Box 1075, Woonsocket, RI 02895-6146

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