# MISSOURI CVS PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \#17931
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164388351
- **Authorized official:** SUSAN F COLBERT (SR. DIRECTOR)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 3444 W SUNSHINE ST, SPRINGFIELD, MO 65807-1021
- **Practice address phone:** (417) 210-6130
- **Mailing address:** 1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | — | — | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 12/31/2025
- **Last updated:** 01/08/2026