HIGHLAND PARK CVS LLC (NPI# 1316988280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316988280 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS LLC |
| Other Organization Name | CVS PHARMACY #08744 |
| Practice Address |
9139 Broadway Ave Brookfield IL 60513-1303 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7083879982 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1479523 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08744 | 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 |
9139 BROADWAY AVE |
| City | BROOKFIELD |
| State | IL |
| Zip Code | 60513-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644909 | Romy A Desai | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-09-18 |
| 1194338145 | Kristin Elatkin | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-08-28 |
| 1508482563 | Eula Lewis | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-06-24 |
| 1336798677 | Camlinh Nguyen Roska | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2019-09-09 |
| 1952820763 | Julia Barhoumeh | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801318712 | Filip Maksimovic | Physical Therapy Assistant | 4329 Forest Ave, Brookfield, IL 60513 | 2017-07-12 |
| 1649666439 | Little Sprouts Pediatric Therapy Services, Inc | Occupational Therapist | 4324 Blanchan Ave., Brookefield, IL 60513 | 2015-04-08 |
| 1043411945 | School District 95 | Local Education Agency (LEA) | 2524 Maple Avenue, Brookfield, IL 60513 | 2007-05-29 |
| 1306972112 | George Tomecki | Family Medicine | 8905 Burlington Ave, Brookfield, IL 60513 | 2007-02-26 |
| 1316036486 | Community Support Services | Social Worker | 9021 Ogden Avenue, Brookfield, IL 60513 | 2006-10-12 |
| 1255425476 | Daniel J Lehenbauer | Dentist | 9224 Broadway, Brookfield, IL 60513 | 2006-10-03 |
| 1669574513 | Todd C Martin | Dentist | 9435 W. Ogden Ave, Brookfield, IL 60513 | 2006-09-02 |
| 1316988397 | Ehtesham J Ghani | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2006-06-09 |
| 1518302595 | Brook Park Medical Associates S C | Internal Medicine | 3101 Maple Ave, Brookfield, IL 60513 | 2013-05-06 |
| 1508076225 | Ehtesham J Ghani Md Sc | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2007-05-23 |
| Find all providers in zip 60513 | ||||
| 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 |
|---|---|---|---|---|
| 1164745162 | Roundys Supermarkets Inc | Pharmacy | 17630 W Bluemound Rd, Brookfield, WI 53045-2908 | 2010-03-04 |
| 1326291345 | Roundys Supermarkets Inc | Pharmacy | 17295 W Capitol Dr, Brookfield, WI 53045-2004 | 2008-11-04 |
| 1891945283 | Matste Inc | Pharmacy | 7160 Warren Sharon Rd, Brookfield, OH 44403-9657 | 2008-09-23 |
| 1083762348 | Roundys Supermarkets Inc | Pharmacy | 15170 W Greenfield Ave, Brookfield, WI 53005-7018 | 2007-01-05 |
| 1285235614 | Matste Inc | Pharmacy | 7160 Warren Sharon Rd, Brookfield, OH 44403-9657 | 2020-11-03 |
| 1912154774 | Brookfield Prescription Center Inc | Pharmacy | 19035 W Capitol Dr, Brookfield, WI 53045-2755 | 2008-08-24 |
| 1962433003 | K Mart Corp | Pharmacy | 18200 W Bluemound Rd, Brookfield, WI 53045-2930 | 2006-07-06 |
| 1114994209 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 19333 W North Ave, Suite 390, Brookfield, WI 53045-4132 | 2006-03-07 |
| 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 | ||||
| City | BROOKFIELD |
| Zip Code | 60513 |
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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.