HIGHLAND PARK CVS LLC (NPI# 1124265509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124265509 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS LLC |
| Other Organization Name | CVS PHARMACY #17536 |
| Practice Address |
130 S Mannheim Rd Hillside IL 60162-1821 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7083755072 |
| Practice Fax Number | 7083755082 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, 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 |
054.019750 | IL | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118412 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17536 | 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 |
130 S MANNHEIM RD |
| City | HILLSIDE |
| State | IL |
| Zip Code | 60162-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093067266 | Ranjbar Eyecare Corp | Optometrist | 130 S Mannheim Rd, Hillside, IL 60162-1821 | 2012-10-11 |
| 1104196237 | Tracy Jean Mesner | Pharmacist | 130 S Mannheim Rd, Hillside, IL 60162-1821 | 2012-01-05 |
| 1154621316 | Diana Ranjbar | Optometrist | 130 S Mannheim Rd, Hillside, IL 60162-1821 | 2010-10-21 |
| 1245469972 | Rana Vision Inc. | Optometrist | 130 S Mannheim Rd, Hillside, IL 60162-1821 | 2009-07-02 |
| 1952549354 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 130 S Mannheim Rd, Hillside, IL 60162-1821 | 2009-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345216 | Oakwood Medical Services Inc | Durable Medical Equipment & Medical Supplies | 4747 Charles St, Hillside, IL 60162 | 2018-08-13 |
| 1316187453 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 120 S Mannheim Road, H01, Hillside, IL 60162 | 2009-03-03 |
| 1679729891 | Daniel J. Desalvo | Dentist | 321 N. Hillside Ave, Hillside, IL 60162 | 2008-08-08 |
| 1124163332 | Aspire of Illinois | Occupational Therapist | 1815 S Wolf Rd, Hillside, IL 60162 | 2007-02-21 |
| 1558409243 | Sayeeda Yasmin | Internal Medicine | Renaissance At Hillside, Hillside, IL 60162 | 2007-02-02 |
| 1114088226 | Health Options of Il, Inc | Case Management | 4415 W. Harrison Street, 300, Hillside, IL 60162 | 2006-12-12 |
| 1699860213 | Hinsdale Physicians Healthcare Association, Inc. | Health Maintenance Organization | 4415 West Harrison Street, Suite 300, Hillside, IL 60162 | 2006-10-03 |
| 1467477059 | Magdoleen Nessim | Internal Medicine | 4413 W Roosvelt Rd, 101, Hillside, IL 60162 | 2006-07-13 |
| 1174030381 | Kristian Shumate | Occupational Therapist | 1815 S Wolf Rd, Hillside, IL 60162 | 2018-01-09 |
| 1710374988 | Kimberly Charo | Registered Nurse | 5024 W Hawthorne Ave, Hillside, IL 60162-1010 | 2015-04-24 |
| Find all providers in zip 60162 | ||||
| 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 |
|---|---|---|---|---|
| 1952532517 | United Rx LLC | Pharmacy | 150 Fencl Ln, Hillside, IL 60162-2041 | 2009-07-30 |
| 1073628855 | Ajs Supermarket LLC | Pharmacy | 367 Route 22, Hillside, NJ 07205-2056 | 2006-08-20 |
| 1740265511 | Sas Pharma Inc | Pharmacy | 1108 Liberty Ave, Hillside, NJ 07205-2103 | 2005-12-14 |
| 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.