Organization provider

MISSOURI CVS PHARMACY, L.L.C.

Community/Retail Pharmacy Diabetes Educator Registered Nurse Medical Specialty Clinic/Center Medicare enrolled

MISSOURI CVS PHARMACY, L.L.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104852623, based in Bridgeton, MO. The organization lists 5 taxonomy classifications, with Community/Retail Pharmacy recorded as primary.

Getting there

The practice address on file is 11253 SAINT CHARLES ROCK RD, Bridgeton, MO 63044. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11253 SAINT CHARLES ROCK RD, Bridgeton, MO 63044 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
003851 MO Durable Medical Equipment & Medical…
003851 MO Pharmacy

This provider holds licence 003851 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Dme Supplier - Pharmacy
PAC ID
3577560499

Medicare enrolment is recorded as approved under the provider type Dme Supplier - Pharmacy. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Community/Retail Pharmacy covers

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NUCC Health Care Provider Taxonomy, code 3336C0003X
Suppliers Pharmacy Community/Retail Pharmacy

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy primary
163WD0400X Diabetes Educator Registered Nurse Diabetes Educator
261QM2500X Medical Specialty Clinic/Center Medical Specialty
332B00000X Durable Medical Equipment & Medical Supplies 003851 MO
333600000X Pharmacy 003851 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104852623 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 25, 2006
Last updatedJun 10, 2020
StatusActive
Practice address 11253 SAINT CHARLES ROCK RD
Bridgeton, MO 63044
(314) 738-0235
Fax (314) 738-0137
Mailing address 1 CVS DRIVE BOX 1075
Woonsocket, RI 02895
Other identifiers 2618001 · OTHER ID NUMBER-COMMERCIAL NUMBER
600125488 (MO)
The last update on file is Jun 10, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104852623 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 5 2 6 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 5 4 6 4

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104852623?
NPI 1104852623 is the National Provider Identifier assigned to MISSOURI CVS PHARMACY, L.L.C. in Bridgeton, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Community/Retail Pharmacy cover?
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional…
How do I contact MISSOURI CVS PHARMACY, L.L.C.?
The phone number on file with NPPES is (314) 738-0235, last updated Jun 10, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does MISSOURI CVS PHARMACY, L.L.C. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104852623 a valid number?
Yes. 1104852623 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.