HIGHLAND PARK CVS LLC (NPI# 1538686357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538686357 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS LLC |
| Other Organization Name | CVS PHARMACY #17717 |
| Practice Address |
1129 Lake St. Oak Park IL 60301 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 7083830267 |
| Mailing Telephone | (401) 765-1500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-09-21 |
| 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 | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17717 | 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 |
| 1538696927 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 3204 N Clark St, Chicago, IL 60657-1602 | 2017-05-16 |
| Street Address |
1129 LAKE ST. |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| 1316236987 | Kristin M Baier | Family Medicine | 932 Lake St, Oak Park, IL 60301 | 2011-04-04 |
| Find all providers in zip 60301 | ||||
| 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 |
|---|---|---|---|---|
| 1841792512 | Lees Pharmacy LLC | Pharmacy | 21700 Greenfield Rd Ste 345, Oak Park, MI 48237-2538 | 2018-03-08 |
| 1780198176 | Health Delivery Management, LLC | Pharmacy | 610 S. Maple Ave., Suite 1200, Oak Park, IL 60304-1091 | 2017-11-22 |
| 1174079560 | Medsource Family Pharmacy LLC | Pharmacy | 15300 W 9 Mile Rd Ste 2, Oak Park, MI 48237-5200 | 2016-08-26 |
| 1902264484 | Ultimate Care Pharmacy | Pharmacy | 15075 Lincoln St, 110, Oak Park, MI 48237-3335 | 2016-01-29 |
| 1417203399 | Mercury Drugs LLC | Pharmacy | 22150 Coolidge Hwy, Oak Park, MI 48237-2813 | 2012-07-30 |
| 1851674709 | Farm Fresh Pharmacy LLC | Pharmacy | 13151 W 10 Mile Rd Ste 1, Oak Park, MI 48237-4601 | 2011-09-27 |
| 1891899852 | The Wellness Plan | Pharmacy | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-09-12 |
| 1831114495 | Bormans Inc | Pharmacy | 13151 Ten Mile Rd, Oak Park, MI 48237 | 2006-07-13 |
| 1083645071 | Kmart of Michigan Inc | Pharmacy | 26200 Greenfield Rd, Oak Park, MI 48237-1051 | 2006-07-06 |
| 1902846652 | One Vision Pharmacy Services Inc | Pharmacy | 25950 Greenfield Rd, Oak Park, MI 48237-1001 | 2006-06-08 |
| Find all providers in OAK PARK | ||||
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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.