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HIGHLAND PARK CVS L.L.C. NPI 1306394051


NPI Information

NPI: 1306394051
Provider Name: HIGHLAND PARK CVS, L.L.C.

Doing Business As: CVS PHARMACY #10628

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
177 W VIRGINIA STREET
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 444-4603
Get Directions

HIGHLAND PARK CVS, L.L.C. is a pharmacy in Crystal Lake, 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, L.L.C. NPI is 1306394051. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #10628.

The provider's business location address is:

177 W VIRGINIA STREET
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 444-4603

The provider's authorized official is Susan Colbert .
The authorized official title is Sr Director Payer Relations and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 9/12/2016 and was last updated on 11/2/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesILLINOISNo
23336C0003XPharmacyCommunity/Retail PharmacyILLINOISNo
3333600000XPharmacyILLINOISYes

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
14723660366MEDICARE NSCILLINOIS
2215907MEDICARE PINILLINOIS
31492761OTHERILLINOISNCPDP
4=========087MEDICAIDILLINOIS

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: 4/28/2024

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