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

Missouri Cvs Pharmacy, LLC

Organization Pharmacy · NPI 1205935517

Missouri Cvs Pharmacy, LLC is a Pharmacy in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
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

11124 Holmes Rd
Kansas City, MO 64131-3625
Phone: (816) 942-3262
Fax: (816) 942-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 2004023152 (MO)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1205935517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristiana Mauricio — Mgr Phcy Enrollments · (401) 770-2937
Other names Cvs Pharmacy #05635
NPI enumeratedSeptember 22, 2006
Last updated in NPPESFebruary 3, 2015
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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