HIGHLAND PARK CVS, L.L.C. (NPI# 1386747053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386747053 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY # 06932 |
| Practice Address |
608 S Main St Hillsboro IL 62049-1732 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2175329477 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 054-011841 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1453618 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 06932 | 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 |
608 S MAIN ST |
| City | HILLSBORO |
| State | IL |
| Zip Code | 62049-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110734 | Ronald K Howard Jr. | Counselor | 11191 Rte 185, Hillsboro, IL 62049 | 2020-06-26 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1003325887 | Michele Womontree | Psychologist | 11191 Illinois Rt 185, Hillsboro, IL 62049 | 2017-09-25 |
| 1437457116 | Zumwalt Hillsboro Chiropractic Clinic | Chiropractor | 9242 Il Rte #16, Hillsboro, IL 62049 | 2011-03-04 |
| 1437366796 | Francis Felix Kayira | General Practice | Route 185, Graham Correctional Center, Hillsboro, IL 62049 | 2007-05-17 |
| 1225164965 | Kimberly Jan Draper | Speech-Language Pathologist | 10135 W Il Rt 16, Hillsboro, IL 62049 | 2007-02-26 |
| 1174662621 | Jon Ramon Gardner | Dentist | 12078 Il Rte 185, Graham Correctional Center, Hillsboro, IL 62049 | 2007-02-05 |
| 1669527875 | Mccaffrey Family Health Center PC | Chiropractor | 113 West Wood Street, Hillsboro, IL 62049 | 2007-01-25 |
| 1821068875 | Bart Allison Wetzel | Nurse Anesthetist, Certified Registered | 1200 Tremont, Hillsboro, IL 62049 | 2006-01-24 |
| 1699753707 | Gerald Lee Zumwalt | Chiropractor | 9242 Il Rt 16, Hillsboro, IL 62049 | 2006-01-09 |
| Find all providers in zip 62049 | ||||
| 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 |
|---|---|---|---|---|
| 1013406131 | Oregon Health & Science University | Pharmacy | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123-4171 | 2018-05-03 |
| 1932272408 | Brookshire Grocery Company | Pharmacy | 120 S Waco St, Attention Pharmacy Dept, Hillsboro, TX 76645-7708 | 2006-11-15 |
| 1851406896 | Downtown Drug | Pharmacy | 111 S High St, Hillsboro, OH 45133-1442 | 2006-08-20 |
| 1942227780 | Lin-kris Pharmacy Inc | Pharmacy | 10666 Business 21, Hillsboro, MO 63050-5097 | 2006-07-17 |
| 1144246000 | Peterson Pharmacy Inc | Pharmacy | 727 Water Ave, Hillsboro, WI 54634-6229 | 2006-07-14 |
| 1932135142 | Fred Meyer Stores Inc | Pharmacy | 22075 Nw Imbrie Dr, Hillsboro, OR 97124-7578 | 2006-06-23 |
| 1962461350 | Wmso LLC | Pharmacy | 661 Se Baseline St, Hillsboro, OR 97123-4115 | 2006-03-22 |
| 1093717043 | Medicine Store | Pharmacy | 231 N High St, Hillsboro, OH 45133-1128 | 2005-06-02 |
| 1760027650 | Katherine Salness | Pharmacy | 7010 Ne Cornell Rd, Hillsboro, OR 97124-5422 | 2019-11-14 |
| 1265708812 | Credena Health LLC | Pharmacy | 10670 Ne Cornell Rd Ste 102, Hillsboro, OR 97124-9221 | 2012-03-28 |
| Find all providers in HILLSBORO | ||||
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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.