HIGHLAND PARK CVS, L.L.C. (NPI# 1750484424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750484424 |
Entity Type | Organization |
Organization Name | HIGHLAND PARK CVS, L.L.C. |
Other Organization Name | CVS PHARMACY # 06924 |
Practice Address |
111 N State St Westville IL 61883-1461 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 2172672188 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2014-10-15 |
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 | 054-011833 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 1446485 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY # 06924 | 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 |
111 N STATE ST |
City | WESTVILLE |
State | IL |
Zip Code | 61883-1461 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518518430 | Robinson Chiropractic of Westville, LLC | Chiropractor | 111 N State St, Westville, IL 61883-1461 | 2019-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700340957 | Morgan Gallion | Specialist/Technologist | 808 N Scott St, Westville, IL 61883 | 2019-01-22 |
1295955334 | Dawn G Campbell | Massage Therapist | 12 Knight Lane, Westville, IL 61883 | 2007-04-30 |
1649658667 | Jennifer Jean Jenkins | Specialist | 8 Center Street, Westville, IL 61883-1002 | 2015-05-11 |
1316056153 | Westville Community Unit Dist 2 | Local Education Agency (LEA) | 125 W Ellsworth St, Westville, IL 61883-1233 | 2006-08-29 |
1811946510 | Feddco Inc | Pharmacy | 111 N State St Ste C, Westville, IL 61883-1461 | 2006-05-09 |
1487989513 | Shaun Patrick Cox | Nurse Practitioner | 209 W Park St, Westville, IL 61883-1635 | 2009-10-07 |
1295248011 | Sherri J Givens | Speech-Language Pathologist | 200 S Walnut, Westville, IL 61883-1680 | 2017-11-15 |
1386157105 | Heidi Michele Hackett | Speech-Language Pathologist | 200 S Walnut, Westville, IL 61883-1680 | 2017-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
1861011199 | Maureen Baker | Nurse Practitioner | 29 Edgewater Ave, Westville, NJ 08093-1133 | 2020-04-16 |
1194356790 | Kyle Joseph Twist | Case Manager/Care Coordinator | 471076 E 723 Rd, Westville, OK 74965-7005 | 2020-02-01 |
1013566546 | Medelite Billing Service Inc | Contractor | 1563 Commander Rd, Westville, FL 32464-3020 | 2019-09-07 |
1104474188 | Ruby Jackson | Technician | 4046 Damascus Church Rd, Westville, SC 29175-9542 | 2019-09-03 |
1114573656 | Brenda Noe | Military Health Care Provider | 1796 S Rolling Meadows Dr, Westville, IN 46391-3701 | 2019-08-12 |
1639723018 | Jennifer S Garcia | Social Worker | 609 Winding Way, Westville, NJ 08093-2217 | 2019-07-24 |
1104478742 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 60 Taras Ave, Westville, NJ 08093-2303 | 2019-07-14 |
1790348522 | Pain Management of Westville | Anesthesiology | 419 S Williams Avenue, Westville, OK 74965 | 2019-04-17 |
1477011146 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Broadway Apt 312, Westville, NJ 08093-1438 | 2019-03-12 |
Find all providers in WESTVILLE |
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 |
---|---|---|---|---|
1811946510 | Feddco Inc | Pharmacy | 111 N State St Ste C, Westville, IL 61883-1461 | 2006-05-09 |
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 |
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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.