HIGHLAND PARK CVS, L.L.C. (NPI# 1316178064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316178064 |
Entity Type | Organization |
Organization Name | HIGHLAND PARK CVS, L.L.C. |
Other Organization Name | CVS PHARMACY 07017 |
Practice Address |
1130 S Veterans Pkwy Bloomington IL 61704 |
Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
Practice Telephone | 3096611839 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2009-07-29 |
Last Update Date | 2014-10-15 |
Authorized Official Name | SUSAN COLBERT (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 |
Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP | 1483611 | 01 |
Other Name | Type Code |
---|---|
CVS Pharmacy 07017 | 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 |
1130 S VETERANS PKWY |
City | BLOOMINGTON |
State | IL |
Zip Code | 61704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457989824 | Megan Wendelschafer | Pharmacist | 1130 S Veterans Pkwy, Bloomington, IL 61704-7117 | 2020-03-31 |
1619499829 | Leslie Elaine Carter | Nurse Practitioner | 1130 S Veterans Pkwy, Bloomington, IL 61704-7117 | 2017-07-10 |
1285930503 | Barbara Ann Becker | Nurse Practitioner | 1130 S Veterans Pkwy, Bloomington, IL 61704-7117 | 2011-02-03 |
1194054692 | Jillian M. Mchood | Nurse Practitioner | 1130 S Veterans Pkwy, Bloomington, IL 61704 | 2009-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
Find all providers in zip 61704 |
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 |
---|---|---|---|---|
1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
1982945556 | Axlines Inc | Pharmacy | 1210 Towanda Ave Ste 11, Bloomington, IL 61701-7415 | 2013-03-07 |
1649328907 | Rbf LLC | Pharmacy | 2600 W 80th St, Bloomington, MN 55431-1201 | 2007-01-05 |
1750454062 | Kroger Limited Partnership I | Pharmacy | 500 S Liberty Dr, Bloomington, IN 47403-1924 | 2006-11-16 |
1013080324 | Kroger Limited Partnership I | Pharmacy | 4025 S Old State Road 37, Bloomington, IN 47401-7482 | 2006-11-16 |
1316031719 | Snyders Drug | Pharmacy | 5135 W 98th St, Bloomington, MN 55437-2040 | 2006-10-03 |
1225122625 | Snyders Drug Stores Inc | Pharmacy | 8925 Penn Ave S, Bloomington, MN 55431-2024 | 2006-10-03 |
1700970050 | Snyders Drug | Pharmacy | 10615 France Ave. S, Bloomington, MN 55431 | 2006-10-03 |
1477668515 | Supervalu Pharmacies Inc | Pharmacy | 8421 Lyndale Ave S, Bloomington, MN 55420-4580 | 2006-08-20 |
1033124946 | Marsh Drugs LLC | Pharmacy | 3600 W 3rd St, Bloomington, IN 47404-4860 | 2006-07-29 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61704 |
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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.