HIGHLAND PARK CVS, L.L.C.


Address: 1130 S Veterans Pkwy, Bloomington, IL 61704
Phone: 3096611839

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 1483611 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy 07017 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 1130 S VETERANS PKWY
City BLOOMINGTON
State IL
Zip Code 61704

Providers in the same location

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

Providers in the same zip code

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
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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
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
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Competitor

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City BLOOMINGTON
Zip Code 61704

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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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