HIGHLAND PARK CVS, L.L.C.


Address: 1005 W Jackson St, Morton, IL 61550-1545
Phone: 3092665396

HIGHLAND PARK CVS, L.L.C. (NPI# 1932202603) 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) 1932202603
Entity Type Organization
Organization Name HIGHLAND PARK CVS, L.L.C.
Other Organization Name CVS PHARMACY #06452
Practice Address 1005 W Jackson St
Morton
IL 61550-1545
Mailing Address 1 Cvs Dr
Po Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 3092665396
Enumeration Date 2006-09-07
Last Update Date 2012-03-13
Authorized Official Name SUSAN COLBERT (DIRECTOR)
Authorized Official Telephone 4017651500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy 054-011783 IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 1446079 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #06452 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 1005 W JACKSON ST
City MORTON
State IL
Zip Code 61550-1545

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497398648 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 853 W Jackson Plaza, Morton, IL 61550 2019-10-21
1760924732 The Center for Youth and Family Solutions Residential Treatment Facility, Emotionally Disturbed Children 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 2016-11-08
1770983181 Jennifer Vissering Nurse Practitioner 435 Maxine Drive Suite #4, Morton, IL 61550 2014-09-04
1316387236 Saint Johns Hospital Rehabilitation Hospital 141 E Maywood Street, Morton, IL 61550 2013-06-25
1801145610 Nancy J. Anderson Counselor 42 Jasper Drive, Morton, IL 61550 2012-09-07
1689894834 Kevin Littlefield Dentist 320 E Jackson, Morton, IL 61550 2007-04-30
1215081765 Krueger & Associates LLC Dentist 213 S Clifton Street, Morton, IL 61550 2007-01-22
1073686218 Darin Scott Hoffmire Social Worker 2401 South Fourth Street, Morton, IL 61550 2006-11-16
1629161856 William Edwards Pediatrics 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 2006-10-02
1396844932 G Gene Sidler Internal Medicine 619 Jackson St, Morton, IL 61550 2006-09-21
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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
1114288628 Morton Alwan Pharmacy LLC Pharmacy 419 Maxine Dr, Morton, IL 61550-2495 2012-05-31
1316915937 Dao Pharmacy Inc Pharmacy 35 S Morton Ave, Morton, PA 19070-1734 2006-03-09
1417519810 Littlefield Prescription Shop LLC Pharmacy 201 E Grant Ave, Morton, TX 79346-3444 2019-07-05
1225060262 Freds Stores of Tennessee Inc Pharmacy 5186 Highway 80, Morton, MS 39117-3605 2006-07-07
1891726956 Kmart Stores of Illinois LLC Pharmacy 1075 W Jackson St, Morton, IL 61550-1545 2006-07-06
1760472781 Bulldog Alliance Two Pharmacy 201 S Main St, Morton, IL 61550-2031 2005-10-21

Providers in the same taxonomy and state

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
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Competitor

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City MORTON
Zip Code 61550

Improve Information

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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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