HIGHLAND PARK CVS, L.L.C. (NPI# 1437234606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437234606 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #10553 |
| Practice Address |
230 Comet Drive Braidwood IL 60408 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 8154580642 |
| Practice Fax Number | 8154583703 |
| Mailing Telephone | (401) 765-1500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | SUSAN COLBERT (SR. DR. 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 | 203000681 | IL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054-009424 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 363484164001 | 05 | |
| IL | PHARMACY LIC | 054-009424 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #10553 | 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 |
230 COMET DRIVE |
| City | BRAIDWOOD |
| State | IL |
| Zip Code | 60408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073853347 | Braidwood Fire Protection District | Ambulance | 275 W. Main St., Braidwood, IL 60408 | 2013-02-25 |
| 1346424918 | Sherri Pierce | Physical Therapy Assistant | 1130 N. Division, Braidwood, IL 60408 | 2007-12-19 |
| 1801003991 | Edgar E Archbold | Family Medicine | 6917 W Cermak Rd, Berwyn, IL 60408 | 2007-05-17 |
| 1447652631 | Jeromy Lee Pellegrini | Massage Therapist | 180 Main St., Braidwood, IL 60408 | 2014-09-19 |
| 1205214749 | Kathryn Devine | Massage Therapist | 402 W 6th St, Braidwood, IL 60408-1330 | 2015-05-18 |
| 1972046639 | Christine Patterson | Counselor | 330 W Bergera Rd Unit D, Braidwood, IL 60408-1518 | 2016-11-29 |
| 1205214467 | April Crawford | Massage Therapist | 180 E Main St, Braidwood, IL 60408-1912 | 2015-05-08 |
| 1003105495 | Elite Rehabilitation Institute Braidwood LLC | Physical Therapist | 180 E Main St, Braidwood, IL 60408-1912 | 2011-04-06 |
| 1710110481 | Jason P Lamarche | Chiropractor | 180 E Main St, Braidwood, IL 60408-1912 | 2009-08-28 |
| 1801801782 | Braidwood Volunteer Fire Department | Ambulance | 275 W Main St, Braidwood, IL 60408-1919 | 2006-07-29 |
| Find all providers in zip 60408 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
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| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| 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.