HIGHLAND PARK CVS LLC (NPI# 1437234564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437234564 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS LLC |
| Other Organization Name | CVS PHARMACY #10627 |
| Practice Address |
720 S Crescent Gilman IL 60938 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 8152654730 |
| Practice Fax Number | 8152654740 |
| Mailing Telephone | (401) 765-1500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | SUSAN COLBERT (SR. DR. PAYER RELATIONS) |
| 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 | 203000676 | IL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054-013779 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 14-68215 | 01 | |
| IL | PHARMACY LIC | 054-013779 | 01 |
| IL | 363484164009 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #10627 | 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 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 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 |
| Street Address |
720 S CRESCENT |
| City | GILMAN |
| State | IL |
| Zip Code | 60938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033460100 | Rachelle L Wilken | Massage Therapist | 401 S Crescent St., Gilman, IL 60938 | 2012-09-28 |
| 1154401974 | Naran P Dodia | Internal Medicine | 121 E Crescent, Gilman, IL 60938 | 2006-10-16 |
| 1104803394 | Gilman Nursing Center, LLC | Skilled Nursing Facility | 1390 S Crescent, Route 45 South, Gilman, IL 60938 | 2005-12-28 |
| 1720505829 | Haley Marie Benner | Speech-Language Pathologist | 215 E 2nd St, Gilman, IL 60938-1301 | 2017-08-29 |
| 1801908991 | Iroquois Special Education Association | Local Education Agency (LEA) | 108 E Front St, Gilman, IL 60938-1331 | 2006-08-31 |
| 1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
| 1427164003 | Iroquois West Unit Dist #10 | Local Education Agency (LEA) | 529 E 2nd St, Gilman, IL 60938-1414 | 2006-08-23 |
| 1467962621 | Sarah M Allen | Nurse Practitioner | 720b S Crescent St, Gilman, IL 60938-1518 | 2017-10-02 |
| 1366469132 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 508 E Crescent St, Gilman, IL 60938-1702 | 2006-07-16 |
| 1972994804 | Bhs of Illinois LLC | Substance Abuse Rehabilitation Facility | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2015-02-13 |
| Find all providers in zip 60938 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
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| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.