HIGHLAND PARK CVS, L.L.C. (NPI# 1306086624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306086624 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY # 05482 |
| Practice Address |
3615 N. Central Ave Chicago IL 60634 |
| Mailing Address |
One Cvs Drive Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
IL | Suppliers | |
| Y | 333600000X | Pharmacy | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NCPDP | 1482974 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 05482 | Doing Business As Name - Organization |
| 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 |
| 1144540725 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 100 S Fell Ave, Suite 103, Normal, IL 61761 | 2010-06-07 |
| 1396062824 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 10420 Grand Ave, Franklin Park, IL 60131-2209 | 2010-04-23 |
| Street Address |
3615 N. CENTRAL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1497993026 | Daniel Michal Domagala | Dentist | 3208 N. Major Avenue, Chicago, IL 60634 | 2009-02-04 |
| Find all providers in zip 60634 | ||||
| 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 | ||||
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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.