HIGHLAND PARK CVS LLC (NPI# 1043251911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043251911 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS LLC |
| Other Organization Name | CVS PHARMACY #08746 |
| Practice Address |
300 N Eola Rd Aurora IL 60502-9062 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6309782380 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1479561 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08746 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1558974071 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 555 W Webster Ave, Chicago, IL 60614-7610 | 2020-08-25 |
| 1669002135 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2434 N Sacramento Ave, Chicago, IL 60647-2666 | 2020-01-23 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1316428147 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 739 Roosevelt Rd, Glen Ellyn, IL 60137-5877 | 2018-08-29 |
| 1124520424 | Highland Park Cvs LLC | Pharmacy | 110 E Norris Dr, Ottawa, IL 61350-1515 | 2018-03-02 |
| 1326555236 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 678 N Wells St, Chicago, IL 60654-3717 | 2018-01-02 |
| 1174040687 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 3300 N Ashland Ave, Chicago, IL 60657-2109 | 2017-08-25 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| Street Address |
300 N EOLA RD |
| City | AURORA |
| State | IL |
| Zip Code | 60502-9062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134165 | Michelle Anita Lech | Nurse Practitioner | 300 N Eola Rd, Aurora, IL 60502-9062 | 2020-11-05 |
| 1790057164 | Tracy Marie Frazzini | Nurse Practitioner | 300 N Eola Rd, Aurora, IL 60502-9062 | 2012-02-01 |
| 1831233154 | Joelna Robleza | Nurse Practitioner | 300 N Eola Rd, Aurora, IL 60502-9062 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816856 | Amanda Robinson | Behavior Technician | 452 Behavioral Perspective, Aurora, IL 60502 | 2017-04-26 |
| 1982141743 | Kathleen Werrline | Behavior Technician | 452 N Eola Rd A, Aurora, IL 60502 | 2017-01-31 |
| 1700276094 | Kati Jo Clish | Developmental Therapist | 3138 Whitney Road, Aurora, IL 60502 | 2015-01-26 |
| 1821430513 | Central Du Page Hospital Assn | Non-Pharmacy Dispensing Site | 2635 Church Rd, Aurora, IL 60502 | 2013-07-23 |
| 1417219437 | Krystle Cordova Gadrinab-jones | Family Medicine | 1222 N Eola Rd Ste D, Aurora, IL 60502 | 2012-06-14 |
| 1063794642 | Jimit Baxi | Pharmacist | 2986 Kirk Road, Aurora, IL 60502 | 2011-09-09 |
| 1154532315 | Dmj Home Health Services, Inc | Home Health | 2720 E. New York St., Suite 120, Aurora, IL 60502 | 2007-05-26 |
| 1336211770 | Gary Joseph Masterson | Optometrist | 405 North Eola Rd, Suite K, Aurora, IL 60502 | 2006-11-14 |
| 1760580708 | Deborah J Riddell | Advanced Practice Midwife | 2972 Indian Trail Road, Suite A, Aurora, IL 60502 | 2006-09-21 |
| 1811001779 | Dinesh J Patel Dds PC | Dentist | 405 N Eola Rd, #l, Aurora, IL 60502 | 2006-08-18 |
| Find all providers in zip 60502 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305108 | Apex Pharmacy LLC | Pharmacy | 12597 E Mississippi Ave Unit 300, Aurora, CO 80012-3460 | 2020-08-03 |
| 1144681354 | Benivex Inc | Pharmacy | 370 W Indian Trl, Aurora, IL 60506-2451 | 2016-03-15 |
| 1366889115 | Grace Health Pharmacy | Pharmacy | 3191 S Vaughn Way Unit 102, Unit 102, Aurora, CO 80014-3505 | 2013-06-03 |
| 1326330358 | Terrascripts LLC | Pharmacy | 13801 E Yale Ave Unit 119, Aurora, CO 80014-2339 | 2011-05-10 |
| 1992004766 | Highland Pharmacy Inc | Pharmacy | 1177 N. Highland Ave, Suite 203, Aurora, IL 60506 | 2011-03-19 |
| 1114221751 | Medshop Pharmacy LLC | Pharmacy | 3535 E New York St, Aurora, IL 60504-4465 | 2010-12-22 |
| 1255591780 | Metro Community Provider Network, Inc. | Pharmacy | 3292 Peoria Street, Aurora, CO 80110-1517 | 2008-06-09 |
| 1689833097 | Walgreen Co | Pharmacy | 15310 E Colfax Ave, Aurora, CO 80011-5806 | 2008-06-02 |
| 1114098126 | Rpcs, Inc | Pharmacy | 708 S Elliott Ave, Aurora, MO 65605-2210 | 2006-11-13 |
| 1407957848 | Family Pharmacy Inc | Pharmacy | 1718 S Chambers Rd, Aurora, CO 80017-5023 | 2006-09-26 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.