HIGHLAND PARK CVS LLC (NPI# 1215585757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215585757 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS LLC |
| Other Organization Name | CVS PHARMACY #11376 |
| Practice Address |
1034 West Lake St Chicago IL 60607 |
| Mailing Address |
1 Cvs Dr # 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3127052004 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | SUSAN F COLBERT (SR. DIRECTOR) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| 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 Name | Type Code |
|---|---|
| CVS Pharmacy #11376 | 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 |
| 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 |
| 1538696927 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 3204 N Clark St, Chicago, IL 60657-1602 | 2017-05-16 |
| Street Address |
1034 WEST LAKE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| 1104331446 | Ricardo Rivera | Behavior Technician | 310 N Loomis, Chicago, IL 60607 | 2017-12-08 |
| Find all providers in zip 60607 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1245711027 | Alpha Pharm LLC | Pharmacy | 1406 W Devon Ave, Chicago, IL 60660-1312 | 2018-08-28 |
| 1003396110 | Northwestern Memorial Healthcare | Pharmacy | 171 N Aberdeen St, Chicago, IL 60607-1669 | 2018-08-17 |
| 1760985436 | Crx Pharmacy Inc | Pharmacy | 5941 W Irving Park Rd, Chicago, IL 60634-2618 | 2018-03-08 |
| 1528413945 | Victory Rx, Inc | Pharmacy | 2545 W. Diversey Ave Ste. 104, Chicago, IL 60647 | 2016-05-04 |
| 1194183517 | North Park Pharmacy LLC | Pharmacy | 3324 W Foster Ave, Chicago, IL 60625-4813 | 2016-01-29 |
| 1285099002 | Omar Pharmacy Inc | Pharmacy | 4613 N Sheridan Rd, Chicago, IL 60640-5019 | 2015-12-21 |
| 1104281138 | Local Health, LLC | Pharmacy | 2215 W 95th St, Chicago, IL 60643-1001 | 2015-12-17 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on HIGHLAND PARK CVS LLC.
| 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.