HIGHLAND PARK CVS LLC (NPI# 1598707796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598707796 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK CVS LLC |
| Other Organization Name | CVS PHARMACY |
| Practice Address |
1165 N Clark St Chicago IL 60610-2702 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3122808140 |
| Enumeration Date | 2006-06-12 |
| 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 | 1479422 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY | 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 |
1165 N CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345522 | Kenneth O Bennett | Chiropractor | 1165 N Clark St, Suite 602, Chicago, IL 60610-2702 | 2005-09-06 |
| 1033728951 | Donna Ptasinski | Nurse Practitioner | 1165 N Clark St, Chicago, IL 60610-2702 | 2020-07-27 |
| 1154793347 | Daniel Helgerman | Chiropractor | 1165 N Clark St, Suite 602, Chicago, IL 60610-2702 | 2015-10-27 |
| 1982088498 | Caitlin Nelson | Marriage & Family Therapist | 1165 N Clark St, Suite 411, Chicago, IL 60610 | 2015-07-14 |
| 1013314269 | A. Lawrence Therapy, P.c | Counselor | 1165 N Clark St, Suite 202, Chicago, IL 60610-2702 | 2014-12-02 |
| 1164869608 | Diane M Miller | Counselor | 1165 N Clark St, Suite 202, Chicago, IL 60610-2702 | 2013-05-23 |
| 1447524897 | Virginia Parker Archer | Counselor | 1165 N Clark St, Suite 413, Chicago, IL 60610-2702 | 2012-03-02 |
| 1720350820 | Klinkhamer Counseling Inc. | Social Worker | 1165 N Clark St, Suite 202, Chicago, IL 60610-2702 | 2012-02-03 |
| 1487923512 | Gorey Family Counseling, Ltd. | Counselor | 1165 N Clark St, Suite 202, Chicago, IL 60610-2702 | 2011-12-19 |
| 1861786402 | Innerwork Chicago LLC | Counselor | 1165 N Clark St, Suite 202, Chicago, IL 60610-7862 | 2011-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1245711027 | Alpha Pharm LLC | Pharmacy | 1406 W Devon Ave, Chicago, IL 60660-1312 | 2018-08-28 |
| 1003396110 | Northwestern Memorial Healthcare | Pharmacy | 171 N Aberdeen St, Chicago, IL 60607-1669 | 2018-08-17 |
| 1760985436 | Crx Pharmacy Inc | Pharmacy | 5941 W Irving Park Rd, Chicago, IL 60634-2618 | 2018-03-08 |
| 1528413945 | Victory Rx, Inc | Pharmacy | 2545 W. Diversey Ave Ste. 104, Chicago, IL 60647 | 2016-05-04 |
| 1194183517 | North Park Pharmacy LLC | Pharmacy | 3324 W Foster Ave, Chicago, IL 60625-4813 | 2016-01-29 |
| 1285099002 | Omar Pharmacy Inc | Pharmacy | 4613 N Sheridan Rd, Chicago, IL 60640-5019 | 2015-12-21 |
| 1104281138 | Local Health, LLC | Pharmacy | 2215 W 95th St, Chicago, IL 60643-1001 | 2015-12-17 |
| Find all providers in CHICAGO | ||||
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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.