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HIGHLAND PARK CVS LLC NPI 1134160005


NPI Information

NPI: 1134160005
Provider Name: HIGHLAND PARK CVS LLC

Doing Business As: CVS PHARMACY 08508

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3156 W 103RD ST
CHICAGO, IL
ZIP 60655
Phone: (773) 238-4941
Get Directions

HIGHLAND PARK CVS LLC is a pharmacy in Chicago, IL. The provider is 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. HIGHLAND PARK CVS LLC NPI is 1134160005. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 08508.

The provider's business location address is:

3156 W 103RD ST
CHICAGO, IL
ZIP 60655-010
Phone: (773) 238-4941

The provider's authorized official is Susan Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14723660077MEDICARE NSC
2215907MEDICARE PINILLINOIS
3P00959569MEDICARE PINILLINOIS
41479547OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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