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 1396845731

Missouri Cvs Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Lees Summit, 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

621 SW 3rd St
Lees Summit, MO 64063-2212
Phone: (816) 524-5084
Fax: (816) 524-0215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 2004023146 (MO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1396845731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director · (401) 765-1500
Other names Cvs Pharmacy #05719
NPI enumeratedSeptember 25, 2006
Last updated in NPPESFebruary 3, 2015
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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