HIGHLAND PARK CVS, L.L.C. (NPI# 1396848065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396848065 |
Entity Type | Organization |
Organization Name | HIGHLAND PARK CVS, L.L.C. |
Other Organization Name | CVS PHARMACY # 06450 |
Practice Address |
603 S 4th St Chillicothe IL 61523-2267 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 3092746261 |
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 | 054-011781 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 1445914 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY # 06450 | 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 |
603 S 4TH ST |
City | CHILLICOTHE |
State | IL |
Zip Code | 61523-2267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609413202 | Glenna Katrina Hagan | Pharmacist | 603 S 4th St, Chillicothe, IL 61523-2267 | 2019-12-03 |
1104462282 | Jane Margaret Johnson | Pharmacist | 603 S 4th St, Chillicothe, IL 61523-2267 | 2019-11-22 |
1780757302 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 603 S 4th St, Chillicothe, IL 61523-2267 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447429238 | T. J. Freund Dds, P.C. | Dentist | 1008 N. 4th St., Chillicothe, IL 61523 | 2008-02-26 |
1538205406 | Maureen J Sylvester | Physical Therapist | 525 Sweetbriar, Suite C, Chillicothe, IL 61523 | 2007-01-29 |
1821152455 | Carlos Juan Roa | Dentist | 607 South Fourth Street, Suite B, Chillicothe, IL 61523 | 2006-12-20 |
1295898047 | Denise A Amundson | Chiropractor | 723 N Second St, Chillicothe, IL 61523 | 2006-12-19 |
1336156611 | Azizur Rehman | Family Medicine | 525 Sweetbriar Drive, Chillicothe, IL 61523 | 2006-08-01 |
1255351276 | Kenneth Adams | Physician Assistant | 525 Sweetbriar Dr, Chillicothe, IL 61523 | 2006-07-20 |
1326366790 | Methodist Medical Center of Illinois | Clinic/Center | 525 S Sweetbriar Dr, Chillicothe, IL 61523 | 2010-05-11 |
1902818727 | Mannerings Family Pharmacy | Pharmacist | 525 Sweetbriar Drive, Chillicothe, IL 61523 | 2006-08-12 |
1467469759 | Ted Rogers | Family Medicine | 525 Sweetbriar Drive, Chillicothe, IL 61523 | 2006-08-01 |
1689876153 | Illinois Valley Central Unit District No 321 | Local Education Agency (LEA) | 1300 W Sycamore St, Chillicothe, IL 61523-1373 | 2007-06-05 |
Find all providers in zip 61523 |
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 |
---|---|---|---|---|
1811912520 | The Kroger Co | Pharmacy | 1165 Western Ave, Chillicothe, OH 45601-1169 | 2006-07-13 |
1962488155 | Allen's Medical Pharmacy, Inc. | Pharmacy | 215 Eastern Ave, Chillicothe, OH 45601-3462 | 2005-12-20 |
1124018957 | Bulldog Alliance Inc. | Pharmacy | 318 S Plaza Park, Chillicothe, IL 61523-2214 | 2005-10-24 |
1659647170 | Adena Pharmacy LLC | Pharmacy | 4435 State Route 159, Chillicothe, OH 45601-8620 | 2012-03-29 |
1982978516 | Hedrick Medical Center Phcy | Pharmacy | 2799 N Washington St, Chillicothe, MO 64601-2902 | 2012-02-29 |
1235160391 | K Mart Corp | Pharmacy | 1470 N Bridge St, Chillicothe, OH 45601-4101 | 2006-07-06 |
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 |
Find all providers with the same taxonomy |
City | CHILLICOTHE |
Zip Code | 61523 |
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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.