HIGHLAND PARK CVS, L.L.C (NPI# 1649355660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649355660 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS, L.L.C |
| Other Organization Name | CVS PHARMACY #10761 |
| Practice Address |
1101 S. Water St. Wilmington IL 60481 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 8154762131 |
| Practice Fax Number | 8154762142 |
| Mailing Telephone | (401) 765-1500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-08-04 |
| 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 | 203000690 | IL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054-007797 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 363484164018 | 05 | |
| NABP | 14-06049 | 01 | |
| IL | PHARMACY LIC | 054-007797 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #10761 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770035636 | Highland Park Cvs, L.l.c | Registered Nurse | 10405 N Centerway Dr, Peoria, IL 61615-1233 | 2016-10-26 |
| 1134578354 | Highland Park Cvs, L.l.c | Pharmacy | 2650 N Clark St, Chicago, IL 60614-1523 | 2016-06-08 |
| 1154491884 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 902 E Oak St, Fairbury, IL 61739 | 2006-11-09 |
| 1558446633 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 106 Watters Dr, Dwight, IL 60420 | 2006-10-26 |
| 1093819948 | Highland Park Cvs, L.l.c | Pharmacy | 7855 S Western Ave, Chicago, IL 60620-5823 | 2006-09-12 |
| 1497790406 | Highland Park Cvs, L.l.c | Registered Nurse | 4800 N University St, Peoria, IL 61614-5891 | 2006-06-17 |
| Street Address |
1101 S. WATER ST. |
| City | WILMINGTON |
| State | IL |
| Zip Code | 60481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992834592 | Wilmington C U Sch Dist 209u | Local Education Agency (LEA) | 209u Wildcat Court, Wilmington, IL 60481 | 2007-03-02 |
| 1659437325 | Wilmington Fire Protection District | Ambulance | 501 N Water St, Wilmington, IL 60481-1189 | 2006-12-28 |
| 1386938868 | Joan Papes | Physical Therapist | 324 E Baltimore St, Wilmington, IL 60481-1236 | 2011-06-02 |
| 1356457873 | Mary Melissa Fitzsimmons | Chiropractor | 300 E Baltimore St, Wilmington, IL 60481-1236 | 2006-08-21 |
| 1538553730 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 324 E Baltimore St, Wilmington, IL 60481-1236 | 2015-03-25 |
| 1679774947 | Fitzsimmons Chiropractic P.C. | Chiropractor | 300 E Baltimore St, Wilmington, IL 60481-1236 | 2007-05-31 |
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1710036082 | Michael Joseph Condon | Chiropractor | 676 W Baltimore St, Wilmington, IL 60481-1281 | 2007-01-09 |
| 1942368691 | Patrick John Yerkes | Dentist | 688 W Baltimore St, Wilmington, IL 60481-1281 | 2006-12-05 |
| 1689661985 | Dean Allen Hoppenrath | Chiropractor | 309 W Baltimore St, Wilmington, IL 60481-1292 | 2005-10-02 |
| Find all providers in zip 60481 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1720633084 | New Hanover Regional Medical Center | Pharmacy | 2250 Shipyard Blvd Ste 12, Wilmington, NC 28403-8070 | 2019-08-05 |
| 1831671932 | Greenhill Specialty Pharmacy LLC. | Pharmacy | 2500 W 4th St # 2, Wilmington, DE 19805-3367 | 2018-09-05 |
| 1396237699 | Alfa Farmacia | Pharmacy | 1365 N Avalon Blvd, Wilmington, CA 90744-2603 | 2018-06-01 |
| 1639537111 | Unioncare Pharmacy LLC | Pharmacy | 408 N Union St, Wilmington, DE 19805-3026 | 2016-01-29 |
| 1346640455 | Cvs Pharmacy Inc. | Pharmacy | 210 Ballardvale St, Wilmington, MA 01887-1032 | 2014-08-26 |
| 1437495371 | Ainsley's Pharmacy LLC | Pharmacy | 3610 Miller Rd, Wilmington, DE 19802-2524 | 2012-12-21 |
| 1124375738 | Delaware Cvs Pharmacy LLC | Pharmacy | 1605 Telegraph Rd, Wilmington, DE 19804-4113 | 2012-08-14 |
| 1518213917 | Carter Drugs | Pharmacy | 4037 Masonboro Loop Rd, Suite G, Wilmington, NC 28409-3682 | 2012-08-03 |
| 1427268069 | Market Street Pharmacy Inc | Pharmacy | 908 B 16th Ste, Wilmington, PA 19802-5145 | 2007-05-23 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 60481 |
Please comment or provide details below to improve the information on HIGHLAND PARK CVS, L.L.C.
| 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.