HIGHLAND PARK CVS, L.L.C.


Address: 111 N State St, Westville, IL 61883-1461
Phone: 2172672188

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 1446485 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY # 06924 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 111 N STATE ST
City WESTVILLE
State IL
Zip Code 61883-1461

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518518430 Robinson Chiropractic of Westville, LLC Chiropractor 111 N State St, Westville, IL 61883-1461 2019-09-23

Providers in the same zip code

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

Providers in the same city

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
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811946510 Feddco Inc Pharmacy 111 N State St Ste C, Westville, IL 61883-1461 2006-05-09

Providers in the same taxonomy and state

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
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Competitor

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City WESTVILLE
Zip Code 61883

Improve Information

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Dataset Information

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.

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