HIGHLAND PARK CVS, L.L.C.


Address: 100 S Fell Ave, Suite 103, Normal, IL 61761
Phone: 3094520393

HIGHLAND PARK CVS, L.L.C. (NPI# 1144540725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144540725
Entity Type Organization
Organization Name HIGHLAND PARK CVS, L.L.C.
Other Organization Name CVS PHARMACY #08043
Practice Address 100 S Fell Ave
Suite 103
Normal
IL 61761
Mailing Address 1 Cvs Dr
Box 1075 - Pharmacy Enrollments
Woonsocket
RI 02895-6146
Practice Telephone 3094520393
Mailing Telephone 4017651500
Enumeration Date 2010-06-07
Last Update Date 2010-12-16
Authorized Official Name SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 1484447 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #08043 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790260552 Highland Park Cvs, L.L.C. Registered Nurse 800 Carlyle Ave, Belleville, IL 62221-5509 2018-09-27
1740794882 Highland Park Cvs, L.L.C. Clinic/Center 72 Airport Plz, Bethalto, IL 62010-1774 2017-11-28
1326598319 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 1346 E 53rd St., Chicago, IL 60615 2016-10-13
1306394051 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 177 W Virginia Street, Crystal Lake, IL 60014 2016-09-12
1871047423 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 1500 Lincoln Highway, St Charles, IL 60734-3579 2016-08-12
1134576804 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 2000 S Naperville Rd, Wheaton, IL 60189-8153 2016-05-23
1235503517 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 3900 W Elm St, Mchenry, IL 60050-4362 2015-11-24
1255698189 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 2239 E Cook St Ste 101, Springfield, IL 62703-1944 2012-04-17
1396062824 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 10420 Grand Ave, Franklin Park, IL 60131-2209 2010-04-23
1306163837 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 570 N Fairview Ave, Decatur, IL 62522-1966 2010-04-23

Office Location

Street Address 100 S FELL AVE
SUITE 103
City NORMAL
State IL
Zip Code 61761

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681796 Brittany Nicole Mekley Nurse Practitioner 201 N. University, Normal, IL 61761 2020-08-28
1679108971 Krystal Halliday Occupational Therapist 1815 N Towanda Barnes Rd, Normal, IL 61761 2020-03-06
1265915474 Laine E Burek Nurse Practitioner 1765 Bradford Ln., Normal, IL 61761 2018-09-13
1801389986 Ashley Michelle James Specialist/Technologist 347 S. University St, Normal, IL 61761 2018-06-12
1447750708 Shelley R. Ruch Specialist/Technologist, Other 1604 Visa Drive, Ste 1, Normal, IL 61761 2018-02-13
1497275069 Mclean County Nursing Home Non-emergency Medical Transport (VAN) 901 N. Main St, Normal, IL 61761 2017-06-23
1235673666 Megan Threm Registered Nurse 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 2016-12-04
1437513553 Tiesha Smith Specialist 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 2016-04-06
1285031658 New Day Recovery Community/Behavioral Health 402 Summit, Normal, IL 61761 2014-12-01
1174927701 Alyssa Marie Bruck Occupational Therapist 700 N Walnut St, Normal, IL 61761 2014-10-10
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619994985 Walmart Inc. Pharmacy 300 Greenbriar Dr, Normal, IL 61761-2278 2006-07-16
1952460388 Illinois State University Pharmacy 101 N University St, Normal, IL 61790-2540 2006-12-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730702549 Aster Pharmacy LLC Pharmacy 9213 Waukegan Rd, Morton Grove, IL 60053-2102 2020-05-27
1568083301 Pointcore, Inc. Pharmacy 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 2020-05-04
1336768001 Mhg Pharmacy Services, LLC Pharmacy 2923 N California Ave Ste 240, Chicago, IL 60618-7702 2020-04-13
1184258824 Metropolitian Austin Outpatient Pharmacy LLC Pharmacy 645 S Central Ave Ste 1, Chicago, IL 60644-5059 2020-03-02
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1568093615 Carefirst Pharmacy, Inc. Pharmacy 2253 N Cicero Ave, Chicago, IL 60639-3327 2020-01-28
1720624521 Affinity Pharmacy Care LLC Pharmacy 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 2019-11-27
1104462126 Loyola University Medical Center Pharmacy 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 2019-11-25
1346886512 Value Plus Pharmacy LLC Pharmacy 457 W Liberty St, Wauconda, IL 60084-2452 2019-11-22
1841833100 April M Bailey Pharmacy 1019 Oakcrest Dr, Rantoul, IL 61866-1118 2019-10-18
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Competitor

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City NORMAL
Zip Code 61761

Improve Information

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Dataset Information

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.

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